Endometrial adenocarcinoma in women under the age of forty presents a different course according to its histology. Adenocarcinomas of the endometrium may be classified into 4 main types: type 1, homologous or endometrioid; type 2, fallopian-like; type 3, cervical-like; type 4, unclassifiable. The majority of homologous adenocarcinomas have a relatively benign course, whereas the other types are definitely malignant. There is no room for doubt between adenocarcinoma and atypical endometrial hyperplasia in women under forty unless the histological pattern is of the homologous or endometrioid type, because the other patterns are definitely malignant.
Get full access to this article
View all access options for this article.
References
1.
ChamlianD. L., TaylorH. B.: Endometrial hyperplasia in young women.Obstet. Gynec.,36: 659, 1970.
2.
Dallenbach-HellwgG.: Histopathology of the endometrium.Springer Verlag, New York, 1971.
3.
DockertyM. B., LoveladyG. B., FoustG. T.: Carcinoma of the uterus in young women.Amer. J. Obstet. Gynec.,61: 699, 1951.
4.
FiloticoM., TrabuccoM., FaggianoF., MannariniG., GrassoS.: La tipizzazione morfologica dell'adenocarcinoma endometriale possibile elemento di valutazione della ormono-dipendenza del tumore. Vol. I, Boll. Soc. Ionico-Salen., 1973.
5.
FiloticoM., TrabuccoM., MannariniG., GrassoS., FaggianoF.: La tipizzazione morfologica dell'adenocarcinoma endometriale come base di storia naturale della neoplasia.Tumori, 60: 163–170, 1974.
6.
GrattarolaR.: Misdiagnosis of endometrial adenocarcinoma in young women with polycystic ovarian disease: Report a case with endocrine study.Amer. J. Obstet. Gynec.,105: 498, 1969.
7.
GrattarolaR.: Alteration of malignant processes by hormonal manipulation.Proc. 10th Intern. Cancer Congr., vol. I, pp. 345–357, 1970.
8.
GrattarolaR.: Misdiagnosis of endometrial adenoacanthoma in a 27-year old women with adenocortical-tumor.Oncology, 28: 246–252, 1973.
PetersonE. P.: Endometrial carcinoma in young women: A clinical profile.Obstet. Gynec.,31: 702, 1968.
11.
RichardL., KempsonG. E., PokornyZ.: Adenocarcinoma of the endometrium in women aged forty and younger.Cancer, 21: 650–662, 1968.
12.
RothF.: Schweiz.Med. Wschr.,871, 1954, cit. da Goglh Lang F. Y. In: Trattato di Anatomia Patologica, vol. II, KaufmannE. (ed.), Vallardi, Milano, 1964.
13.
SpeertH.: Corpus cancer clinical pathological aspects.Cancer,1: 584, 1948.
14.
Tasch: Arch.Gynaek.,171: 260, 1941, cit. da Goglh Lang F. Y. In: Trattato di Anatomia Patologica, vol. II, KaufmannE. (ed.), Vallardi, Milano, 1964.
15.
TrampuzV.: Endometrial carcinoma in young women.Zdrav Vesten, 39: 115–118, 1970.
