Androgen-producing, atypically proliferating endometrioid tumor arising in endometriosis

South Med J. 2001 Apr;94(4):450-3.

Abstract

A case of androgen-secreting borderline endometrioid tumor arising in endometriosis of the rectovaginal septum is presented. It occurred 10 years after total abdominal hysterectomy and bilateral salpingo-oophorectomy for extensive endometriosis of the fallopian tubes and ovaries, adenomyosis, and leiomyomas of the uterus. We believe 7 years of unopposed continuous oral estrogen replacement therapy contributed to the malignant transformation of the endometriosis.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Androgens / metabolism*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Carcinoma, Endometrioid / complications*
  • Carcinoma, Endometrioid / pathology*
  • Cell Transformation, Neoplastic / drug effects
  • Combined Modality Therapy
  • Dyspareunia / etiology
  • Endometriosis / complications*
  • Endometriosis / surgery
  • Estrogen Replacement Therapy / adverse effects
  • Estrogen Replacement Therapy / methods
  • Female
  • Hirsutism / etiology
  • Humans
  • Hysterectomy
  • Middle Aged
  • Mitotic Index
  • Ovariectomy
  • Rectal Neoplasms / complications*
  • Rectal Neoplasms / pathology*
  • Reoperation
  • Tomography, X-Ray Computed
  • Vaginal Neoplasms / complications*
  • Vaginal Neoplasms / pathology*

Substances

  • Androgens