ISSN : 2146-3123
E-ISSN : 2146-3131

Extragenital Müllerian Adenosarcoma in the Pouch of Douglas
Ateş Karateke 1, İlker Kahramanoğlu 2, Remziye Bilgiç 3
1Department of Gynecologic Oncology, Zeynep Kamil Women and Children’s Health and Research Hospital, İstanbul, Turkey
2Department of Obstetrics and Gynecology, Süleymaniye Birth and Women Health Training and Research Hospital, İstanbul, Turkey
3Department of Pathology, E-Sitopatoloji Pathology Laboratory, İstanbul, Turkey
DOI : 10.5152/balkanmedj.2013.9065
Pages : 100-104


Background: Extragenital Müllerian adenosarcomas are extremely rare tumours characterised by a stromal component of low-grade malignancy and by a benign glandular epithelial component.

Case Report: A 26-year-old woman was admitted to our clinic because of lower abdominal distension and left lower quadrant pain. Clinical and radiological examinations suggested an ovarian malignancy. Laparotomy revealed a cystic mass in the pouch of Douglas, originating from the left sacrouterine ligament. A total excision of the tumour was performed and showed low-grade adenosarcoma without sarcomatous overgrowth. Follow-up at 24 months after the surgery showed no evidence of recurrence.

Conclusion: Mullerian adenosarcoma located in the pouch of Douglas is rare. For treatment, success may be achieved with only excision of the tumour if there is no sarcomatous overgrowth or spread to adjacent tissues.

Keywords : Adenosarcoma, adnexal, Douglas, extragenital, Müllerian, tumour
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