Gastric-type Endocervical Adenocarcinoma Associated with Peutz-Jeghers Syndrome: A Case Report with Imaging Findings

Gastric-type endocervical adenocarcinoma (GAS) is the most common disease of cervical cancer that is not caused by HPV but is not taken seriously. We describe a woman diagnosed with GAS and Peutz-Jeghers syndrome (PJS) in this report. A 44-year-old woman experienced sporadic vaginal bleeding for one month. In addition, ten years ago, the patient was diagnosed with PJS. In place of the usual cervical structures, computed tomography and magnetic resonance imaging revealed an irregular cystic-solid mass, mostly composed by cystic tissue. Due to the development characteristics of gastric-type endocervical adenocarcinoma, preoperative imaging is of tremendous assistance in diagnosing patients. There is no previous case of predominantly cystic GAS with such a complete history and characteristic imaging findings. This discovery may aid future diagnoses of similar cases.