{Reference Type}: Case Reports {Title}: Ichthyosis uteri complicated by endometrial adenocarcinoma with transitional cell differentiation: A case report. {Author}: Ding L;Liu W;Li H;Huang D;Chen Y;An H; {Journal}: Medicine (Baltimore) {Volume}: 103 {Issue}: 28 {Year}: 2024 Jul 12 {Factor}: 1.817 {DOI}: 10.1097/MD.0000000000038792 {Abstract}: BACKGROUND: Ichthyosis uteri is a rare pathological condition characterized by the replacement of the endometrial lining by stratified squamous epithelium. Yet its occurrence with endometrial adenocarcinoma is very rare.
METHODS: A 68-year-old woman has been experiencing sporadic, minor vaginal hemorrhages for a few months. The gynecological evaluation revealed a uterine enlargement and imaging demonstrated an irregular mass within the uterus.
METHODS: Endometrial adenocarcinoma with transitional cell differentiation; ichthyosis uteri with dysplasia.
METHODS: Radical hysterectomy with pelvic lymphadenectomy was performed followed by postoperative radiotherapy.
RESULTS: Postoperative follow-up at 8 months showed a favorable outcome without signs of recurrence and metastasis.
CONCLUSIONS: Adequate pathological sampling is crucial to identifying the accompanying lesions of ichthyosis uteri. Finding molecular alterations in various pathological morphologies is important to understand the evolution of disease.