Case Report: Pelvic mass and massive ascites as the first symptom in cervical adenocarcinoma: report of two cases and literature review

Cervical adenocarcinoma accounts for 10%–25% of total cases of cervical carcinoma. But in recent years, the incidence of adenocarcinoma has risen both proportionally and absolutely. Clinically, most cervical adenocarcinoma show no symptom or present with abnormal uterine bleeding or vaginal discharg...

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Main Authors: Mingwei Yuan, Yan Zhang, Kana Wang, Mingrong Xi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1244202/full
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author Mingwei Yuan
Mingwei Yuan
Yan Zhang
Yan Zhang
Kana Wang
Kana Wang
Mingrong Xi
Mingrong Xi
author_facet Mingwei Yuan
Mingwei Yuan
Yan Zhang
Yan Zhang
Kana Wang
Kana Wang
Mingrong Xi
Mingrong Xi
author_sort Mingwei Yuan
collection DOAJ
description Cervical adenocarcinoma accounts for 10%–25% of total cases of cervical carcinoma. But in recent years, the incidence of adenocarcinoma has risen both proportionally and absolutely. Clinically, most cervical adenocarcinoma show no symptom or present with abnormal uterine bleeding or vaginal discharge, similar to squamous cell carcinoma. What different about it is that cervical cytological testing demonstrates a high false-negative rate of cervical adenocarcinoma, potentially leading to the failure in detecting in early stage. This report presents two cases both with pelvic masses, and massive ascites served as the initial symptom, which is similar to the clinical symptom of ovarian cancer, but ultimately diagnosed with cervical adenocarcinoma through surgical specimens. There are few literature reports on this situation. Hence, a literature review also has been performed to improve the recognition for cervical adenocarcinoma presenting with pelvic masses and massive ascites, and to avoid misdiagnosis.
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spelling doaj.art-fe2be0f4bf0e4354ab193b03a8a505d92023-08-11T16:50:38ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-08-011310.3389/fonc.2023.12442021244202Case Report: Pelvic mass and massive ascites as the first symptom in cervical adenocarcinoma: report of two cases and literature reviewMingwei Yuan0Mingwei Yuan1Yan Zhang2Yan Zhang3Kana Wang4Kana Wang5Mingrong Xi6Mingrong Xi7Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaDepartment of Pathology, West China Second University Hospital, Sichuan University, Chengdu, ChinaDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaCervical adenocarcinoma accounts for 10%–25% of total cases of cervical carcinoma. But in recent years, the incidence of adenocarcinoma has risen both proportionally and absolutely. Clinically, most cervical adenocarcinoma show no symptom or present with abnormal uterine bleeding or vaginal discharge, similar to squamous cell carcinoma. What different about it is that cervical cytological testing demonstrates a high false-negative rate of cervical adenocarcinoma, potentially leading to the failure in detecting in early stage. This report presents two cases both with pelvic masses, and massive ascites served as the initial symptom, which is similar to the clinical symptom of ovarian cancer, but ultimately diagnosed with cervical adenocarcinoma through surgical specimens. There are few literature reports on this situation. Hence, a literature review also has been performed to improve the recognition for cervical adenocarcinoma presenting with pelvic masses and massive ascites, and to avoid misdiagnosis.https://www.frontiersin.org/articles/10.3389/fonc.2023.1244202/fullcase reportcervical adenocarcinomagastric-type endocervical adenocarcinoma (G-EAC)pelvic massascites
spellingShingle Mingwei Yuan
Mingwei Yuan
Yan Zhang
Yan Zhang
Kana Wang
Kana Wang
Mingrong Xi
Mingrong Xi
Case Report: Pelvic mass and massive ascites as the first symptom in cervical adenocarcinoma: report of two cases and literature review
Frontiers in Oncology
case report
cervical adenocarcinoma
gastric-type endocervical adenocarcinoma (G-EAC)
pelvic mass
ascites
title Case Report: Pelvic mass and massive ascites as the first symptom in cervical adenocarcinoma: report of two cases and literature review
title_full Case Report: Pelvic mass and massive ascites as the first symptom in cervical adenocarcinoma: report of two cases and literature review
title_fullStr Case Report: Pelvic mass and massive ascites as the first symptom in cervical adenocarcinoma: report of two cases and literature review
title_full_unstemmed Case Report: Pelvic mass and massive ascites as the first symptom in cervical adenocarcinoma: report of two cases and literature review
title_short Case Report: Pelvic mass and massive ascites as the first symptom in cervical adenocarcinoma: report of two cases and literature review
title_sort case report pelvic mass and massive ascites as the first symptom in cervical adenocarcinoma report of two cases and literature review
topic case report
cervical adenocarcinoma
gastric-type endocervical adenocarcinoma (G-EAC)
pelvic mass
ascites
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1244202/full
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