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Table 2 Clinical findings of the lesions

From: Serous carcinoma arising from uterine adenomyosis/adenomyotic cyst of the cervical stump: a report of 3 cases

 

Case 1

Case 2

Case 3

Age (yr)

64

55

55

History of pregnancy

G2P2

G1P1

G2P1

History of cancer

N

N

N

Familial history of cancer

N

N

Her father died of lung cancer.

Clinical presentation

Left low abdominal pain

Postmenopausal vagina bleeding

Vaginal bleeding

Serum tumor biomarkers

Normal CA125, CA199 & CA153

CA199: 89.8 IU/mL; Normal CA125

ND

Imaging findings

Endometrium 0.2 cm; A mass in the left parametrium; A cyst in the left adnexus

Endometrium 0.22 cm; Uterine leiomyomas

A mass in the cervical stump and a cyst in the left ovary

Treatment

TAHBSO + complete staging surgery

TAHBSO + complete staging surgery

Radical resection of the cervical stump + BSO + complete staging surgery

Postoperative chemotherapy

Y

Y

N

Status of follow-up (time)

Recent case

Recent case

Alive with no evidence of cancer (44 months)

  1. Abbreviations: N no, Y yes, ND not done, BSO bilateral salpingo-oophorectmy, TAHBSO total abdominal hysterectomy and bilateral salpingo-oophorectmy