IMR Press / EJGO / Volume 41 / Issue 2 / DOI: 10.31083/j.ejgo.2020.02.5184
Open Access Case Report
Coexistence of endocervical cancer and Brenner tumor of the ovary. Diagnostic difficulties
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1 Department of Oncology, Gynecological Oncology, Poznan University of Medical Sciences, Poznan, Poland
2 Department of Clinical Pathomorphology, Poznan University of Medical Sciences, Poznan, Poland
3 Pathology Department, Poznan University of Medical Sciences, Poznan, Poland
Eur. J. Gynaecol. Oncol. 2020 , 41(2), 299–302; https://doi.org/10.31083/j.ejgo.2020.02.5184
Published: 15 April 2020
Abstract

Ultrasound sonography (USG) imaging in a post-menopausal woman with uterine bleeding revealed an endometrial polyp. Two diagnostic tests: curettage of the canal and the endometrium and hysteroscopy failed and resulted in perforation of the cervical canal. Uterine excision with adnexa was performed. Histopathological examination, in addition to the polyp as revealed by USG, showed adenocarcinoma in the cervical uterine canal [adenocarcinoma in situ (AIS)], which could have been the reason why it was not possible to collect material from the uterus. Surprisingly, a small Brenner tumor was also found in the ovary. In cases where diagnostic material from the canal and endometrium in post-menopausal women cannot be obtained, excision of the uterus with adnexa seems to be the best diagnostic and therapeutic course of action.

Keywords
Endometrial polyp
Hysteroscopy
Adenocarcinoma canalis cervix uteri
Brenner tumour of the ovary
Figures
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