%0 Journal Article
%T Transforma  o carcinomatosa de endometriose retroperitoneal Carcinomatous transformation of retroperitoneal endometriosis
%A Joˋo Augusto dos Santos Martines
%A Brenda Margatho Ramos Martines
%A Silvana Maria Lovisolo
%A Corn谷lius Mitteldorf
%J Autopsy and Case Reports
%D 2012
%I University of S?o Paulo
%X Os autores apresentam o caso de uma paciente de 45 anos de idade, portadora de dor abdominal cr nica, sendo evidenciada massa retroperitoneal cuja biopsia por agulha revelou tratar-se de endometriose. Submetida a ooforectomia bilateral. A paciente evoluiu, durante 4 anos, sem controle do quadro 芍lgico, com perda de peso e aumento das dimens es da massa tumoral. A ex谷rese cir迆rgica total da massa tumoral n o foi poss赤vel devido 角s ader那ncias 角s estruturas vasculares. O p車s-operat車rio foi complicado com quadro s谷ptico evoluindo a 車bito. O resultado anatomopatol車gico fornecido pela aut車psia foi de adenocarcinoma de padr o endometri車ide. The authors present a case of a female patient 45 years old with chronic abdominal pain and a retroperitoneal tumor mass which showed the diagnosis of endometriosis by fine needle biopsy. Bilateral oophorectomy was performed. The patient remained symptomatic,the next four years, with pain and weight loss and new diagnostic images revealed tumor mass growth. Radical surgical treatment was impracticable due to tumor adhesions to major vascular structures. Post operatory was troublesome with septic complications evolving to death. The autopsy results showed the diagnosis of endometrioid adenocarcinoma.
%K Endometriose
%K Adenocarcinoma
%K Neoplasias
%K Espa o retroperitoneal.
%U http://www.revistas.usp.br/autopsy/article/view/36417