IMR Press / EJGO / Volume 41 / Issue 5 / DOI: 10.31083/j.ejgo.2020.05.5372
Open Access Case Report
Uterine mullerian adenosarcoma in very young patient
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1 Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Professor of pathology, Department of Pathology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Professor of pathology, Department of Pathology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Eur. J. Gynaecol. Oncol. 2020, 41(5), 817–820; https://doi.org/10.31083/j.ejgo.2020.05.5372
Submitted: 10 September 2019 | Accepted: 28 October 2019 | Published: 15 October 2020
Abstract

Introduction: Uterine adenosarcoma mostly seen in elderly and there are limited data on appropriate approach in premenopausal patient and the accurate prognosis. Herein we aimed to present a young case of Müllerian adenosarcoma of uterus which had only 9 years old. Case report: A 9year old pre pubertal girl presented to the gynecology department of Isfahan University of Medical Sciences-Iran with the vaginal bleeding. An intrauterine mass was noted via hysteroscopic examination as the reason of abnormal bleeding. The final pathology revealed Müllerian adenosarcoma of uterus. Subsequently hysterectomy was done due to persistent perfused vaginal bleeding; with ovarian preservation. Conclusion: Due to rarity of Müllerian adenosarcoma, the gynecologists and pathologists should be reminded about the possibility of the diagnosis in young patients too.

Keywords
Müllerian adenosarcoma
Uterine
Mesenchymal tumor
Childhood
Vaginal bleeding
Adolescent
Figures
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