{
    "abstract": "Endometrial cancer is the most common gynaecological malignancy in Australian women. Less than 5% of cases occur in women under 40\u00a0years of age and it is rarely associated with pregnancy. Most cases associated with pregnancy are diagnosed after first trimester loss. Only 14 cases of endometrial cancer diagnosed post-partum are reported in the literature. These cases were diagnosed up to 15\u00a0months post-partum. The histopathological classification was low grade in 12 patients and high grade in two patients.\nWe describe a 37\u00a0year old woman, who presented after her second vaginal delivery (at 37\u00a0weeks of gestation) with suspected retained products of conception (RPOC). She had a dilation and curettage leading to the diagnosis of endometrial cancer six weeks post-partum. She underwent a total laparoscopic hysterectomy, bilateral salpingo-oophorectomy and bilateral sentinel node biopsy. Histopathology confirmed a stage 1B grade 3 endometrioid adenocarcinoma located in the lower uterine segment with widespread lymph-vascular invasion and no other evidence of malignancy. She is planned to complete six cycles of adjuvant carboplatin/ paclitaxel chemotherapy, followed by pelvic external beam radiotherapy.\nWe report the second case of a high-grade endometrial cancer diagnosed post-partum. The bulk of this tumour was in the lower segment of the uterus, which together with the fundal placenta, likely permitted the pregnancy progressing to term. Endometrial cancer should be considered a rare cause of abnormal post-partum bleeding. Curettage and histopathology examination is recommended in cases that do not resolve with conservative measures to exclude this rare complication.",
    "authors": [
        {
            "affiliation": "Gynaecologic Oncology, Chris O'Brien Lifehouse, Sydney, Australia.\nWomen and Babies Department, Royal Prince Alfred Hospital, Sydney, Australia.",
            "firstname": "Zoe",
            "initials": "Z",
            "lastname": "Laing-Aiken"
        },
        {
            "affiliation": "Gynaecologic Oncology, Chris O'Brien Lifehouse, Sydney, Australia.\nWomen and Babies Department, Royal Prince Alfred Hospital, Sydney, Australia.",
            "firstname": "Sara",
            "initials": "S",
            "lastname": "Ooi"
        },
        {
            "affiliation": "Gynaecologic Oncology, Chris O'Brien Lifehouse, Sydney, Australia.",
            "firstname": "Gaithri",
            "initials": "G",
            "lastname": "Mylvaganam"
        },
        {
            "affiliation": "Gynaecologic Oncology, Chris O'Brien Lifehouse, Sydney, Australia.",
            "firstname": "Huan",
            "initials": "H",
            "lastname": "Xie"
        },
        {
            "affiliation": "Women and Babies Department, Royal Prince Alfred Hospital, Sydney, Australia.\nSydney Medical School, University of Sydney, Sydney, Australia.\nUltrasound Care, Newtown, Sydney, Australia.",
            "firstname": "Joanne",
            "initials": "J",
            "lastname": "Ludlow"
        },
        {
            "affiliation": "Gynaecologic Oncology, Chris O'Brien Lifehouse, Sydney, Australia.\nSydney Medical School, University of Sydney, Sydney, Australia.",
            "firstname": "Selvan",
            "initials": "S",
            "lastname": "Pather"
        }
    ],
    "conclusions": null,
    "copyrights": "Crown Copyright \u00a9 2021 Published by Elsevier Inc.",
    "doi": "10.1016/j.gore.2021.100884\n10.1186/s12884-019-2489-y",
    "journal": "Gynecologic oncology reports",
    "keywords": [
        "Cancer in pregnancy",
        "Endometrial adenocarcinoma",
        "Endometrial cancer",
        "Postpartum",
        "Pregnancy"
    ],
    "methods": null,
    "publication_date": "2021-12-21",
    "pubmed_id": "34926765\n11745192\n8986531\n31747899\n15738027\n19001318\n19955941",
    "results": null,
    "title": "Grade 3 endometrioid adenocarinoma of the lower uterine segment diagnosed 6\u00a0weeks after a term delivery: A case report and literature review.",
    "xml": "<Element 'PubmedArticle' at 0x788502cc2d40>"
}