DIFFICULTIES OF CLINICO-SONOGRAPHIC DIFFERENTIAL DIAGNOSTICS OF ABDOMINAL ENDOMETRIOSIS AND DESMOID
This study investigated the challenges in distinguishing abdominal endometriosis from desmoid tumors using clinico-sonographic methods.
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The paper analyzes literature and three described clinical cases addressing difficulties in clinically and sonographically differentiating desmoid fibromas from extragenital soft-tissue endometriosis of the anterior abdominal wall. Using high-level workup that included gynecologic evaluation, ultrasound (with Doppler assessment of flow and spectra), MRI, and ultrasound-guided biopsy with subsequent surgical excision and histomorphological verification, it reports overlapping findings such as painful mass-like lesions with autonomous growth, infiltration into surrounding soft tissues, and similar sonographic features (irregular shape, uneven contours, solid heterogeneous structure) with intranodular vessels on Doppler. The authors note limitations in early and late differentiation, and emphasize that both entities may lack tissue/cellular atypia and can be asymptomatic when small, while larger desmoids can mimic sarcoma and endometriosis rarely becomes malignant (clear cell carcinoma). This paper is centrally about endometriosis — specifically abdominal wall extragenital endometriosis and its differential sonographic distinction from desmoid tumors (and includes a related adenomyosis case in its comparative framework).
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References (11)
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