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EP33.17: Prolapsed submucous myoma with incidental finding of endocervical adenocarcinoma
Author(s) -
Sigue A.J.,
Teh A.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.21788
Subject(s) - medicine , myoma , vaginal bleeding , cervix , biopsy , hysterectomy , cervical canal , uterus , gynecology , surgery , radiology , cancer , pregnancy , biology , genetics
A 31 y.o. nulligravid, with vaginal bleeding and hypogastric pain for 17 days. Treated as abnormal uterine bleeding due to prolapsed submucous myoma and pelvic inflammatory disease. Pap smear negative for premalignant lesions and HPV DNA test negative, with 6 x 5 cm firm mass at the internal cervical os, uterus 14 week size with bilateral adnexal tenderness. Treated by a Gynecologic-Oncologist , given 2 doses of Leupron injection 3.75 mg/IM and treated for PID, readmitted with the same TVS findings. Patient underwent Hysteroscopic resection of the endocervical myoma and endometrial curettage. Histopathology result was Cervical and Endometrial Adenocarcinoma. Immunochemical stains were negative for P16, ER, PR and positive for CK20,CDX2, CEA and CK 7 (focal) Immunomorphologic findings compatible with colon primary