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  • Title: Unusual case of adenocarcinoma arising in endometriosis mimicking colorectal cancer in a young woman with a Müllerian anomaly.
    Author: Peiretti M, Zakashansky K, Melis GB, Mais V.
    Journal: Fertil Steril; 2008 Jul; 90(1):199.e13-5. PubMed ID: 17888431.
    Abstract:
    OBJECTIVE: To report a case of endometrioid adenocarcinoma that arose in endometriosis mimicking colorectal cancer in a young woman with a Müllerian anomaly. DESIGN: A case report. SETTING: A university hospital. PATIENT(S): A 31-year-old, white nulligravida woman with a history of two previous laparoscopies for infertility and chronic pelvic pain. A solid rectosigmoid mass adherent to the left pelvic sidewall was found in this patient. INTERVENTION(S): The patient was subjected to an exploratory laparotomy followed by adjuvant chemotherapy. MAIN OUTCOME MEASURE(S): Surgical findings and histopathological observations are included in this report. RESULT(S): Intraoperative and histologic examinations revealed endometriosis-associated colorectal cancer. CONCLUSION(S): Although a rare event, this condition should be considered in the diagnosis of women with a previous history of pelvic endometriosis, Müllerian malformation, abdominal pain, constipation, or rectal bleeding.
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