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Open AccessCase Report

Endocervical Cavity Anomaly Mimicking the Uterine Cavity and Delaying Diagnosis of Endometrial Adenocarcinoma: A Case Report

1
Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, Taiwan
2
Department of Emergency Medicine, School of Medicine, Tzu Chi University, Hualien 970, Taiwan
3
Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Hualien 970, Taiwan
4
Institute of Medical Science, Tzu Chi University, Hualien 970, Taiwan
*
Author to whom correspondence should be addressed.
Received: 13 March 2018 / Revised: 22 March 2018 / Accepted: 23 March 2018 / Published: 26 March 2018
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Abstract

We report a rare case of endometrial cancer in an endocervical anomaly with a dilated and isolated endocervical cavity mimicking the uterine cavity. A 75-year-old woman suffered from persistent brownish watery vaginal discharge. The cytology of the fluid showed some atypical cells, and trans-vaginal ultrasonography disclosed two distinct compartments in the pelvis. Under the impression of hematometra and adnexal cystic tumor with solid part, dilation and curettage (D&C) was done, but the pathology showed no evidence of malignancy. Although the hematometra and adnexal cyst disappeared afterward, the patient returned to the clinic with a complaint of persistent vaginal fluid two months later, and trans-rectal ultrasound revealed a cystic tumor with solid part again. Finally, endometrioid adenocarcinoma of endometrium was diagnosed by diagnostic laparoscopy and hysterectomy. This work highlights our experience in the diagnostic process and calls attention to the possibility of an occult endometrial cancer when evaluating postmenopausal women with continuous abnormal watery vaginal fluid and/or atypical cells shown in vaginal fluid cytology. View Full-Text
Keywords: endometrial cancer; atypical cell; acquired uterine abnormality; trans-rectal ultrasound; trans-vaginal ultrasound endometrial cancer; atypical cell; acquired uterine abnormality; trans-rectal ultrasound; trans-vaginal ultrasound
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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MDPI and ACS Style

Wu, M.-Y.; Ding, D.-C.; Chu, T.-Y.; Hong, M.-K. Endocervical Cavity Anomaly Mimicking the Uterine Cavity and Delaying Diagnosis of Endometrial Adenocarcinoma: A Case Report. Reports 2018, 1, 5.

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