ホリベ　ユウ   HORIBE Yuu   堀部　悠    所属   医学部 医学科（東京女子医科大学病院）    職種   助教
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Diagnosis and treatment of a serous cystadenofibroma-like tumor potentially arising from urinary tract endometriosis: A case report.
掲載誌名	正式名：Taiwanese journal of obstetrics & gynecology 略　 称：Taiwan J Obstet Gynecol ISSNコード：18756263/10284559
掲載区分	国外
巻・号・頁	64(2),pp.357-360
著者・共著者	Horibe Yu, Takase Ruriko, Kanno Toshiyuki, Nakabayashi Akira, Kumakiri Jun, Tabata Tsutomu
発行年月	2025/03
概要	OBJECTIVE:Urinary tract endometriosis affects 0.3-12 % of all cases of endometriosis. Medications have limited efficacy in treating advanced disease. Serous cystadenofibroma is a rare benign variant of ovarian epithelial tumors comprising both epithelial and fibrous stromal components. Its diagnosis is challenging due to its visual resemblance to malignancy.CASE REPORT:A patient diagnosed with ureteral endometriosis underwent surgical excision of the right kidney and ureter. Ten years later, the patient developed a tumor suspected to be malignant at the same site. Following exploratory laparotomy, the tumor was pathologically diagnosed as resembling serous cystadenofibroma.CONCLUSION:Differentiating a such tumors from other malignancies based solely on imaging findings is challenging. It is crucial to judge the degree of surgical intervention through intraoperative macroscopic examination and rapid pathological assessment. The efficacy of gonadotropin-releasing hormone analog (GnRHa) and dienogest (DNG) therapy in preventing the recurrence of such tumors following surgery for endometriosis remains uncertain.
DOI	10.1016/j.tjog.2024.12.014
PMID	40049826