Aaron Lupovitch1, Edwin R England, Ruey Chen. 1. Department of Pathology, Henry Ford Wyandotte Hospital, 2333 Biddle Avenue, Wyandotte, MI 48322, USA. ralupovitch@comcast.net
Abstract
INTRODUCTION: Inversion of the uterus associated with a uterine sarcoma is extremely rare with only 17 cases reported since 1887, so that its clinical presentation and appearance at laparotomy may be confusing. CASE: A 26-year-old woman presented with a vaginal mass and bleeding. At laparotomy, her uterus appeared depressed or concave. The final diagnosis of uterine sarcoma and inversion was unique in her age group. CONCLUSIONS: Uterine sarcoma with inversion can occur in the premenopausal age group. It presents as a vaginal mass with bleeding. As a clue to the diagnosis, the uterus per se may not be palpable or it may appear concave on physical exam or at laparotomy.
INTRODUCTION: Inversion of the uterus associated with a uterine sarcoma is extremely rare with only 17 cases reported since 1887, so that its clinical presentation and appearance at laparotomy may be confusing. CASE: A 26-year-old woman presented with a vaginal mass and bleeding. At laparotomy, her uterus appeared depressed or concave. The final diagnosis of uterine sarcoma and inversion was unique in her age group. CONCLUSIONS: Uterine sarcoma with inversion can occur in the premenopausal age group. It presents as a vaginal mass with bleeding. As a clue to the diagnosis, the uterus per se may not be palpable or it may appear concave on physical exam or at laparotomy.
Authors: Karla Teixeira Souza; Marcelo Vailati Negrão; Lucila Soares da Silva Rocha; Giovanni Di Favero; Samantha Cabral Severino da Costa; Maria Del Pilar Estevez Diz Journal: Rare Tumors Date: 2014-08-12