Concurrent endometrial adenocarcinoma and an early pregnancy loss

Excerpt

Even though endometrium cancer is the most common cancer of the female reproductive tract, cancer occurs very rarely during pregnancy. A 45-year-old gravida 4 para 3 patient presented with abnormal vaginal bleeding and 8 weeks of pregnancy. The ultrasonographic evaluation revealed a disordered gestational sac with an 8 weeks embryo with no heart beat. The pathological examination of the dilatation and curettage material revealed chorionic villi and fetal material with a small focus of well-differentiated endometrial adenocarcinoma (Fig. 1). The patient completed her fertility and agreed with the decision of her family; a complete surgical staging procedure was performed. Final pathology report showed grade 1 FIGO stage 1A endometrial adenocarcinoma.

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