Abscess in Adenomyosis Mimicking Malignancy
Author Information
Author(s): Rezzan Erguvan, Mehmet M. Meydanli, Alpay Alkan, Mehmet N. Edali, Hasan Gokce, Aye Kafkasli
Primary Institution: Inonu University, Malatya, Turkey
Hypothesis
Can abscess formation occur de novo within adenomyosis?
Conclusion
This case is the first report of abscess formation in adenomyosis, which can raise suspicion of endometrial cancer in postmenopausal women.
Supporting Evidence
- The frozen section revealed an abscess formation arising in a focus of adenomyosis.
- The patient presented with inguinal pain, nightsweats, and hot flashes.
- Radiologic examinations raised clinical suspicion of malignancy.
- Abscess formation in adenomyosis is not previously reported in the literature.
Takeaway
A woman had an abscess in her uterus that looked like cancer, but it was actually a rare condition called adenomyosis.
Methodology
The patient underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy with frozen section diagnosis.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
54-year-old postmenopausal woman, multiparous, with a history of chronic obstructive lung disease, diabetes mellitus, and hypertension.
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