IMR Press / EJGO / Volume 20 / Issue 5-6 / pii/1999200

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report

Endometrial adenocarcinoma with diffused/scattered“Intramural” spreads: Report of a case and review of the literature

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1 Department of Laboratory Medicine, Hanyu General Hospital, Japan
2 Saitama Cancer Center Hospital, Japan
Eur. J. Gynaecol. Oncol. 1999, 20(5-6), 386–388;
Published: 10 October 1999

A case is reported of endometrial adenocarcinoma of the uterus in an 85-year-old patient with an unusual spreading pattern. On macroscopic examination, only a tiny exophytic tumor was found in the uterine cavity, while microscopic examination demonstra­ted a scattered (scirrhous) spread of the carcinoma cells throughout the myometrium. The tumor occupied about half of the upper uterine corpus. The intramural spread of the tumor could not be seen at the time of macroscopic examination of the uterine cut surface. The tumor cells were attached closely to the serosal membrane, and metastasis to the left ovary was found. Intraoperative cytology detected malignant cells in the ascites. We present here this unusual type of endometrial carcinoma and review our pre­vious report which dealt with pure “intramural carcinomas of the uterine corpus”.

Endometrial carcinoma
Diffuse spreads
Scattered spreads
Intramural spreads
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