%0 Journal Article
%T Müllerian Adenosarcoma of the Vaginal Stump: A Case Report and Literature Review
%A Juan Li
%A Zhenling Duan
%A Ma Jing
%A Xiaotao Jing
%A Li Bian
%J Journal of Cancer Therapy
%P 914-924
%@ 2151-1942
%D 2018
%I Scientific Research Publishing
%R 10.4236/jct.2018.911076
%X M¨¹llerian
adenosarcomas are rare mixed tumors with low malignant potential, and occur
mainly in the uterus. Primary adenosarcomas arising in vaginal endometriosis
are even more rarely reported. We report a very rare case with M¨¹llerian
adenosarcoma arising from vaginal endometriosis. A 43-year-old nulliparous<b> </b><span style=\"font-family:Verdana;\">woman
has a</span><b> </b><span style=\"font-family:Verdana;\">history of endometriosis. Due to two parallel fistulas in cervix,
severe endometriosis and adenosarcoma, she has undergone radical and multiple
surgeries. After the surgery, persistent vaginal vault masses were noticed, and
eight resections of the polyps at vaginal stump were performed. For the first
six resections, all the pathological examinations showed endometriosis. And the
last two resections demonstrated vaginal adenosarcoma. Transition between M¨¹llerian
adenosarcoma and endometriosis was gradual. Finally, adenosarcoma associated
with endometriosis was diagnosed from recurrent vaginal masses. To our
knowledge, this report is the sixth case that primary adenosarcomas arising in vaginal
endometriosis. But </span><a name=\"OLE_LINK17\"></a><span style=\"font-family:Verdana;\">chemo-therapy and radiation therapy were not taken and the patient remained in a good condition throughout the
9-year follow-up period. In addition, we present a review of the literature.
The diagnosis and treatment of the tumor are also discussed.</span>
%K Endometriosis
%K Vaginal Stump
%K M&#252
%K llerian Adenosarcoma
%K Case Report
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=88740