Evidence map›Paper›PMID 41567615›Full record

ArticleGynecologic oncology reports2026

Active surveillance of an endometriosis-related, hormone-responsive pelvic adenosarcoma during pregnancy: A case report.

Amar Zaidan, Kelly H Bruce, Mark R Hopkins, Steven I Robinson, Carl H Rose, Wendaline M VanBuren, Carrie L Langstraat

Abstract readCase Reports
In one paragraph

Article in Gynecologic oncology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Amar ZaidanFaculty of Medicine, American University of Beirut, Beirut, Lebanon.
Kelly H BruceDepartment of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN, United States.
Mark R HopkinsDepartment of Pathology, Mayo Clinic, Rochester, MN, United States.
Steven I RobinsonDepartment of Oncology, Mayo Clinic, Rochester, MN, United States.
Carl H RoseDepartment of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN, United States.
Wendaline M VanBurenDepartment of Radiology, Mayo Clinic, Rochester, MN, United States.
Carrie L LangstraatDepartment of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Extrauterine adenosarcomas are rare gynecologic malignancies that can arise within foci of pelvic endometriosis. They are often hormone mediated and thus are challenging to treat during pregnancy. Case presentation: We present the case of a hormone-receptor positive extrauterine adenosarcoma arising within a known focus of pelvic endometriosis diagnosed in the second trimester of pregnancy. The posterior pelvic mass involved and completely obstructed the colon. The patient desired pregnancy continuation and was managed with surgical intestinal diversion followed by serial surveillance with MRI imaging. Indicated primary preterm cesarean delivery was performed at 30 weeks gestation, after which she was treated with dual anti-estrogen therapy followed by definitive surgical resection. Fifteen months after surgery, she remains free from disease. Conclusion: We review salient topics including malignant transformation of endometriosis, hormone therapy for adenosarcoma without sarcomatous overgrowth, and ethical considerations of cancer management during pregnancy.

Indexed as

AdenosarcomaAnti-estrogen therapyCancer in pregnancyMalignant transformation of endometriosis

Identifiers

PMID41567615
PMCPMC12818264

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.