Unusual ovarian, tubal and pelvic mesothelial inclusions in patients with endometriosis
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Abstract
Unusual mesothelial inclusions were observed in ovaries, fallopian tubes and pelvic wall in six out of 57 patients with endometriosis and in none of 100 ovaries without endometriosis. Although of the same origin as the common ovarian epithelial inclusion cysts, these mesothelial inclusions were different being small, closely packed mesothelial cell nests with or without central lumina and occasionally demonstrating a pseudoinfiltrative pattern, rather than the cystically dilated, non-crowded glands lined by a variety of Müllerian type epithelia. Histochemical reactions of these mesothelial inclusions were similar to those obtained in normal mesothelium, but differed from those seen in common epithelial inclusion cysts, endometriosis and adenocarcinoma. The association of these inclusions with endometriosis suggests that a common stimulus is responsible for the development of both conditions from the multipotential pelvic mesothelium.
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Cited by (20)
- Endometriosis is not the endometrium: Reviewing the over-representation of eutopic endometrium in endometriosis research 2025
- Endometriosis 2025
- Florid Mesothelial Hyperplasia Associated with Abdominal Wall Endometriosis Mimicking Invasive Carcinoma 2021
- Malignant peritoneal mesothelioma in patients with endometriosis 2018
- Endometriosis 2017
- Molecular aspects of development and regulation of endometriosis 2014
- Laparoscopically resected mesothelial cyst mimicking a urachal cyst 2012
- Pitfalls in the diagnosis of endometriosis: a condition characterized by a plethora of unusual histological features 2011
- Peritoneal mesothelial hyperplasia associated with gynaecological disease: a potential diagnostic pitfall that is commonly associated with endometriosis 2011
- Diseases of the Peritoneum 2010
- Ultrastructure of Ectopic Peritoneal Lesions From Women With Endometriosis, Including Observations on the Contribution of Coelomic Mesothelium 2008
- Primary peritoneal serous borderline tumors. 2007
- A case of mesothelial hyperplasia was discovered for endometriosis accidentally 2005
- Diseases of the Peritoneum 1994
- Laparoscopic evaluation of the onset and progression of endometriosis 1993
- The aetiology and pathogenesis of endometriosis 1992
- Subserosal adenomyosis: A possible variant of pelvic endometriosis 1991
- Immunocytochemical markerprofile of endometriotic epithelial, endometrial epithelial, and mesothelial cells: a comparative study 1991
- Multilocular peritoneal inclusion cysts (So-called cystic mesotheliomas) 1989
- Endometriosis, Lesions of the Secondary Müllerian System, and Pelvic Mesothelial Proliferations 1987
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