{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:40:42Z","timestamp":1791823242619,"version":"4.3.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2012,7,20]],"date-time":"2012-07-20T00:00:00Z","timestamp":1342742400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Surg Pathol"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:p>M\u00fcllerian adenosarcomas most commonly arise in the uterine corpus from the eutopic endometrium. Occasionally, they arise in the cervix, vagina, broad and round ligaments, and ovaries and rarely in extragenital sites, usually in association with endometriosis. The authors report a rare case of extraendometrial, intramural adenosarcoma of low grade arising from a subserosal adenomyoma in a 46-year-old woman who presented with vaginal bleeding. No evidence of eutopic endometrial origin was identified; the adenosarcoma showed only limited myometrial invasion and no serosal involvement. Because of its subserosal location, the tumor would be overstaged as IC (deeply myoinvasive) in the new FIGO staging system. Stage IC tumors would normally be considered for adjuvant treatment, which would be inappropriate in this case. To avoid overstaging and inappropriate treatment, it is important to recognize that adenosarcoma can, rarely, arise in adenomyomas (or adenomyosis).<\/jats:p>","DOI":"10.1177\/1066896912453852","type":"journal-article","created":{"date-parts":[[2012,7,21]],"date-time":"2012-07-21T09:18:23Z","timestamp":1342862303000},"page":"186-189","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["M\u00fcllerian Adenosarcoma Arising in a Subserosal Adenomyoma"],"prefix":"10.1177","volume":"21","author":[{"given":"Mona","family":"Elshafie","sequence":"first","affiliation":[{"name":"Birmingham Women\u2019s NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siavash","family":"Rahimi","sequence":"additional","affiliation":[{"name":"Ospedale San Carlo di Nancy-IDI IRCCS, Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raji","family":"Ganesan","sequence":"additional","affiliation":[{"name":"Birmingham Women\u2019s NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Hirschowitz","sequence":"additional","affiliation":[{"name":"Birmingham Women\u2019s NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,7,20]]},"reference":[{"key":"bibr1-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2009.03231.x"},{"key":"bibr2-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1016\/0046-8177(90)90198-E"},{"key":"bibr3-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1097\/PAP.0b013e3181cfe732"},{"key":"bibr4-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1089\/10424060152474677"},{"key":"bibr5-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1438.2003.13187.x"},{"key":"bibr6-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1995.9950"},{"key":"bibr7-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1097\/00004347-200104000-00004"},{"key":"bibr8-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1994.1151"},{"key":"bibr9-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2009.07.033"},{"key":"bibr10-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-200210000-00001"},{"key":"bibr11-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1097\/PGP.0b013e31820b341e"},{"key":"bibr12-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2008.12.008"},{"key":"bibr13-1066896912453852","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/00004347-200007000-00001","volume":"19","author":"Gilks CB","year":"2000","journal-title":"Int J Gynecol Pathol"},{"key":"bibr14-1066896912453852","first-page":"342","volume":"14","author":"Colman HI","year":"1959","journal-title":"Obstet Gynecol"},{"key":"bibr15-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1097\/PGP.0b013e31818e101f"},{"key":"bibr16-1066896912453852","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2001.6334"}],"container-title":["International Journal of Surgical Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1066896912453852","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1066896912453852","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1066896912453852","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:19:24Z","timestamp":1777457964000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1066896912453852"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7,20]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1177\/1066896912453852"],"URL":"https:\/\/doi.org\/10.1177\/1066896912453852","relation":{},"ISSN":["1066-8969","1940-2465"],"issn-type":[{"value":"1066-8969","type":"print"},{"value":"1940-2465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,7,20]]}}}