Table 1 Characteristics of our patient and previously reported patients with rectovaginal septum tumors related to endometriosis
Author/year | Patient age (years) | Signs/symptoms | Medical history | Body type | Laboratory tests | Radiology/ultrasonic findings | Histology | Treatment | Follow-up |
|---|---|---|---|---|---|---|---|---|---|
Dockerty et al. [1], 1954 | 54 | Serosanguineous vaginal discharge | Thyroidectomy | ND | ND | ND | Adenocarcinoma | TH+BSO+LN/RT | DOD 2 years |
Dockerty et al. [1], 1954 | 45 | A small reddish area on the posterior lip of the cervix | ND | Obese | Normal | ND | Adenocarcinoma | TH+BSO+LN/RT | NR 10 years |
Lash and Rubenstone [2], 1959 | 32 | Severe low back pain, cyclic vaginal bleeding | STH | Obese | Normal | Upper and lower gastrointestinal roentgen studies were normal | Adenocarcinoma | Cervicectomy, RR | ND |
Young and Gamble [3], 1969 | 47 | Intermittent vaginal bleeding, pelvic pain, and a cul-de-sac mass | STH | ND | ND | ND | Adenoacanthoma | Pelvic exenteration+RT | Unknown |
Goldberg et al. [4], 1978 | 48 | A hemorrhagic nodule on the posterior vaginal wall | Spontaneously aborted through a laceration | ND | ND | ND | Clear cell adenocarcinoma | TH+LN+RR+resection of the upper half of the vagina | Metastatic nodes 9 months later |
Addison et al. [5], 1979 | 37 | Vagina1 and rectal bleeding | TH+celiotomy+nephrectomy | Obese | ND | ND | Adenoacanthoma | RT/CT | DOD 1 year |
Yazbeck et al. [6], 2005 | 25 | Lower abdominal pain and dyspareunia; painful retrocervical nodule | Total thyroidectomy + appendectomy | ND | CA125: 700 U/mL | US showed a heterogeneous pelvic mass; MRI confirmed the central pelvic mass. | Papillary adenocarcinoma | RT/TH+RR | NR 2 years |
Ulrich et al. [7], 2005 | 51 | Irregular vaginal bleeding | Vaginal hysterectomy | ND | ND | Pelvic MRI confirmed a tumor of the rectosigmoid colon | Glandular and papillary tumor | RR+BSO+vagina and parakolpium resection+LN+RT | RE 2 years later |
Mabrouk et al. [8], 2011 | 36 | Abdominal discomfort | Unknown | ND | Ca125 and Ca19.9 were elevated | CT scan showed a retro-uterine mass; US scan revealed both slightly enlarged ovaries and a retrocervical mass | Clear cell and endometrioid adenocarcinoma | TH+LN+omentectomy+appendicectomy+CT(cisplatinum)+RRâ–¡ | NR 2 months |
Present case, 2019 | 57 | Vaginal bleeding and left lower abdominal pain | Caesarean section and myomectomy | Overweight | Ca125, Ca19.9, and HE4 were elevated | US scan showed an irregular complex mass in the rectovaginal fossa, PET/CT showed a mass with FDG uptake in the rectovaginal fossa. | Adenocarcinoma | TH+LN+omentectomy+peritonectomy+appendicectomy+partial rectal resection+CT | NR 6 months |