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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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2023-08-01
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Series: | Frontiers in Oncology |
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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. |
first_indexed | 2024-03-12T15:14:36Z |
format | Article |
id | doaj.art-fe2be0f4bf0e4354ab193b03a8a505d9 |
institution | Directory Open Access Journal |
issn | 2234-943X |
language | English |
last_indexed | 2024-03-12T15:14:36Z |
publishDate | 2023-08-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Oncology |
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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