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