Uterine endometrioid adenocarcinoma with pilomatrix-like differentiation: A case report and review of the literature

Introduction: We present a rare case of uterine pilomatrix-like high grade endometrioid carcinoma (PiMHEC). We provide a thorough review of the 16 other PiMHEC cases reported to date, overview of our index case, and considerations for therapeutic approach with a focus on molecular subtyping. Case Su...

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Main Authors: L. Rusnell, Z. Al-Shamma, S.P. Bisch
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Gynecologic Oncology Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352578925000189
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author L. Rusnell
Z. Al-Shamma
S.P. Bisch
author_facet L. Rusnell
Z. Al-Shamma
S.P. Bisch
author_sort L. Rusnell
collection DOAJ
description Introduction: We present a rare case of uterine pilomatrix-like high grade endometrioid carcinoma (PiMHEC). We provide a thorough review of the 16 other PiMHEC cases reported to date, overview of our index case, and considerations for therapeutic approach with a focus on molecular subtyping. Case Summary: This 44-year-old patient presented with widespread metastatic disease at time of diagnosis and initial clinical improvement with combination chemoradiotherapy. Immunotherapy was initiated later in the clinical course and the patient ultimately died of their disease 6 months post-diagnosis. Conclusion: Future clinicians may utilize PiMHEC case reports to formulate a therapeutic regimen and consider early initiation of immunotherapy.
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institution Kabale University
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publishDate 2025-02-01
publisher Elsevier
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series Gynecologic Oncology Reports
spelling doaj-art-50f4d9f4fd024c6085ce366eafc299922025-02-11T04:35:03ZengElsevierGynecologic Oncology Reports2352-57892025-02-0157101693Uterine endometrioid adenocarcinoma with pilomatrix-like differentiation: A case report and review of the literatureL. Rusnell0Z. Al-Shamma1S.P. Bisch2Corresponding author.; Foothills Medical Centre Calgary Alberta CanadaFoothills Medical Centre Calgary Alberta CanadaFoothills Medical Centre Calgary Alberta CanadaIntroduction: We present a rare case of uterine pilomatrix-like high grade endometrioid carcinoma (PiMHEC). We provide a thorough review of the 16 other PiMHEC cases reported to date, overview of our index case, and considerations for therapeutic approach with a focus on molecular subtyping. Case Summary: This 44-year-old patient presented with widespread metastatic disease at time of diagnosis and initial clinical improvement with combination chemoradiotherapy. Immunotherapy was initiated later in the clinical course and the patient ultimately died of their disease 6 months post-diagnosis. Conclusion: Future clinicians may utilize PiMHEC case reports to formulate a therapeutic regimen and consider early initiation of immunotherapy.http://www.sciencedirect.com/science/article/pii/S2352578925000189Endometrial cancerPilomatrix carcinomaMolecular subtypeChemotherapyImmunotherapyPathologic features
spellingShingle L. Rusnell
Z. Al-Shamma
S.P. Bisch
Uterine endometrioid adenocarcinoma with pilomatrix-like differentiation: A case report and review of the literature
Gynecologic Oncology Reports
Endometrial cancer
Pilomatrix carcinoma
Molecular subtype
Chemotherapy
Immunotherapy
Pathologic features
title Uterine endometrioid adenocarcinoma with pilomatrix-like differentiation: A case report and review of the literature
title_full Uterine endometrioid adenocarcinoma with pilomatrix-like differentiation: A case report and review of the literature
title_fullStr Uterine endometrioid adenocarcinoma with pilomatrix-like differentiation: A case report and review of the literature
title_full_unstemmed Uterine endometrioid adenocarcinoma with pilomatrix-like differentiation: A case report and review of the literature
title_short Uterine endometrioid adenocarcinoma with pilomatrix-like differentiation: A case report and review of the literature
title_sort uterine endometrioid adenocarcinoma with pilomatrix like differentiation a case report and review of the literature
topic Endometrial cancer
Pilomatrix carcinoma
Molecular subtype
Chemotherapy
Immunotherapy
Pathologic features
url http://www.sciencedirect.com/science/article/pii/S2352578925000189
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AT zalshamma uterineendometrioidadenocarcinomawithpilomatrixlikedifferentiationacasereportandreviewoftheliterature
AT spbisch uterineendometrioidadenocarcinomawithpilomatrixlikedifferentiationacasereportandreviewoftheliterature