Management of Low-Grade Cervical Müllerian Adenosarcoma in a 14-Year-Old Girl.
J Pediatr Adolesc Gynecol
; 30(6): 652-654, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-28578185
ABSTRACT
BACKGROUND:
Müllerian adenosarcomas of the cervix are composed of benign epithelial and malignant stromal components. The purpose of this report is to describe the clinical and histologic difficulties in diagnosis and to propose fertility-preserving management of low-grade lesions. CASE A 14-year-old girl presented with a friable lesion found to originate from the anterior cervical lip. Initially, clinical suspicion was for sarcoma botryoides, however, pathologic evaluation revealed a low-grade cervical Müllerian adenosarcoma. Cold knife conization was performed, and the mass was resected with clear margins. SUMMARY ANDCONCLUSION:
Müllerian adenosarcoma of the cervix is difficult to diagnose in adolescents because of features more commonly associated with alternative diagnoses. For patients with low-grade lesions desiring future fertility, local excision with close follow-up is reasonable.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Uterinas
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Neoplasias do Colo do Útero
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Adenossarcoma
Limite:
Adolescent
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Female
/
Humans
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article