Role of Cytology in Scar Endometriosis: A Case Report

Sujaya Mazumder, S. Deepak Ram Prasath, Santosh Tummidi, Santosh Kumar Mondal
In: Journal of Medical Sciences · 2023 · vol. 44(2) , pp. 89–92 · doi:10.4103/jmedsci.jmedsci_92_23 · W4393337889
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Abstract

Scar endometriosis is a rare, extra-pelvic endometriosis which occurs following uterine surgeries and can be a diagnostic challenge due to its varied clinical presentations. Clinically, it can mimic conditions such as abscess, suture granuloma, desmoid tumor, and even metastatic malignancy. As it usually presents as a swelling near the scar site, fine-needle aspiration and cytology often becomes the first diagnostic test that the clinicians ask for and it plays a significant role in providing the right diagnosis and guide for management. We report one such case, of a 35-year-old female who presented with a swelling in the left lower abdomen, with a clinical diagnosis of lipoma where fine-needle aspiration and cytology helped to clinch the diagnosis of scar endometriosis.

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endometriosis

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