Tumor‐like cystic endosalpingiosis of the uterus with florid epithelial proliferation
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This case describes a large, non-neoplastic cystic endosalpingiosis of the uterus presenting as a uterine mass with florid epithelial proliferation, mimicking ovarian cancer.
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Abstract
Mass-like cystic endosalpingiosis is very rare. The author reports such a lesion with histologic features of endosalpingiosis of the uterus with florid epithelial proliferation in a 51-year-old female who complained of lower abdominal pain. Preoperatively, it was considered to be left-sided ovarian cancer. Intraoperatively, a subserosal, sessile polypoid mass with multiple cysts in the uterine fundus measuring 12 x 6.5 x 5.5 cm was found. Histologically, it was composed of multiple cysts lined by benign-appearing tubal epithelium and bland smooth muscular and myofibromatous stroma. Part of the epithelium exhibited marked papillarity and tufting. Features of conventional endometriosis were present focally. Pathologists and clinicians should be aware of the existence of this type of non-neoplastic lesion, mass-like cystic endosalpingiosis, and should avoid overdiagnosis and overtreatment.
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Too few in-corpus citations on either side for a chart; here are the lists.
Cites (2)
- Müllerianosis of the urinary bladder. 1996
- Endocervicosis of the Urinary Bladder A Report of Six Cases of a Benign Müllerian Lesion That May Mimic Adenocarcinoma 1992
Cited by (3)
- Endosalpingiosis in Postmenopausal Elderly Women 2014
- Postoperative diagnosis of uterine florid cystic endosalpingiosis: a case report emphasizing diagnostic challenges and multimodal imaging correlation 2025
- Intraoperative Appearance of Endosalpingiosis: A Single-Center Experience of Laparoscopic Findings and Systematic Review of Literature 2022
References (11)
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Cited by (3)
- Postoperative diagnosis of uterine florid cystic endosalpingiosis: a case report emphasizing diagnostic challenges and multimodal imaging correlation 2025
- Intraoperative Appearance of Endosalpingiosis: A Single-Center Experience of Laparoscopic Findings and Systematic Review of Literature 2022
- Endosalpingiosis in Postmenopausal Elderly Women 2014
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- pubmed
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- unpaywall
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