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Primary Peritoneal Adenosarcoma with Stromal Overgrowth and Fetal Type Cartilage: A Case Report and Literature Review


Samornmas Kanngurn, MD*,
Julintorn Somran, MD**, Chartchai Art-ong, MD***,
Wisut Lamlertthon, MD****, Suchat Porncharoenpong, MD*****

* Department of Pathology, Faculty of Medicine, Prince of Songkla University
** Department of Pathology and Forensic Medicine, Naresuan University
*** Department of Obstetrics and Gynecology, Buddhachinaraj Hospital
**** Department of Medicine, Buddhachinaraj Hospital
***** Department of Anatomical Pathology, Buddhachinaraj Hospital, Phitsanuloke


Primary peritoneal adenosarcoma with sarcomatous overgrowth and fetal-type cartilage presented in a 48-year-old female patient is described. The tumor seems likely to have derived from the pelvic peritoneum, wheareas the uterus, ovaries and tubes were uninvolved. It was composed of benign-appearing glands and a sarcomatous component showing cartilaginous differentiation. The extrauterine adenosarcomas were reported in other sites, e.g. cervix, ovary, fallopian tube, bladder, and peritoneum. This case was the ninth case of the primary peritoneal adenosarcoma in the English literature and the first report in Thailand.

Keyword : Peritoneal adenosarcoma, Stromal overgrowth, Fetal-type cartilage, Mixedmesodermal tumor

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