Didactics-A Rare Case of Metastatic Mullerian Adenosarcoma

Video Transcription

Video Summary

Summary:<br />This video discusses the case of a 50-year-old woman with lower abdominal and pelvic pain. She had a history of fibroid uterus and underwent uterine artery embolization. A CT scan revealed lung nodules, mediastinal lesions, abdominal masses, and an enlarged uterus. A PET CT confirmed metastatic disease throughout her body. The woman underwent a laparoscopy, which showed multiple peritoneal lesions and a central mass adhering to the uterus and bowels. Pathology results indicated a low-grade malignancy called malaria adenosarcoma. The video presented a literature review on adenosarcoma and discussed treatment options. Hormonal therapy, such as Megace, was suggested due to a previous biopsy showing suspicion of low-grade endometrial stromal sarcoma. The video highlighted studies showing improved survival with hormonal therapy and suggested interval debulking surgery for potential resectable disease. The first-line treatment recommendation was to continue with Megace and monitor the patient's response. The video concluded with input from other healthcare professionals agreeing with the treatment plan.

Asset Subtitle

Tally Levy
April 2021

Keywords

adenosarcoma

hormonal therapy

Megace

laparoscopy

metastatic disease

fibroid uterus