ReviewGynecology and pelvic medicine2024
Primary endometrioid adenocarcinoma arising on vaginal endometriosis: a case report and review of the literature.
Review in Gynecology and pelvic medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Malignant transformation of extragonadal endometriosis is a rare event, mostly described in surgical scars endometriosis or bowel endometriosis. We here present the case of a 59 years old patient, with endometriosis and malignant transformation of a vaginal endometriotic nodule. A systematic review of the literature was conducted to analyze evidence about malignant transformation of vaginal endometriosis and its related treatments. Methods: A detailed description of the surgical procedure is reported. Data regarding patient's characteristics were recorded. Operative data including operative time (min), estimated blood loss (mL), occurrence of intraoperative and postoperative complications within 30 days from surgery were registered. Oncological outcomes refer to a 36-month follow-up. We conducted a systematic review of the online medical databases Ovid MEDLINE, EBM Reviews Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews by May 2023 using the following keywords "endometriosis, endometrioid" and "malignant transformation" or "carcinoma, tumor, neoplasm" and "vagina, recto-vaginal". Results: A nerve-sparing laparoscopic total hysterectomy with bilateral salpingo-oophorectomy and Conclusions: Vaginal malignancies arising on endometriosis represent an extremely rare disease and it is difficult to establish a standard treatment. This study showed the feasibility of the laparoscopic approach to perform surgery, with a detailed description of the surgical technique. The results of the studies included in the review are characterized by heterogeneity, but the surgical excision represents the most common treatment. Adjuvant chemotherapy or radiation therapy may represent an option in relation with the characteristics of the patients and the extension of the disease.
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