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Figure 1. A 34-year-old mother of two children had had menometrorrhagia, lethargy, and episodic abdominal pain for several months. A trial of oral contraceptives provided no relief. Dilation and curettage was performed; staining of the tissue with hematoxylin and eosin demonstrated mullerian adenosarcoma (Panel A, x20). One month later, the patient was admitted for a total abdominal hysterectomy, bilateral salpingo-oophorectomy, and a staging procedure. Preoperative testing revealed an elevated serum level of the ß subunit of chorionic gonadotropin, which is indicative of early pregnancy. After a consultation during which possible options were explained, the patient decided to proceed . . . [Full Text of this Article] |
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