A case of umbilical endometriosis diagnosed by imprint cytology

Hiroaki Kase, Noriko Goto
In: The Journal of the Japanese Society of Clinical Cytology · 2005 · vol. 44(4) , pp. 261–262 · doi:10.5795/jjscc.44.261 · W2328981607
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Imprint cytology of an umbilical mass in a woman with cyclic pain revealed tubular clusters and stromal cells consistent with endometriosis, ruling out malignancy.

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This case report describes a 44-year-old woman with cyclic umbilical pain and a firm nodule who underwent excision of the mass during a hysterectomy for uterine myoma. Imprint cytology of the specimen revealed tubular clusters and endometrial stromal cells, allowing clinicians to rule out malignancy and confirm a diagnosis of endometriosis without prior abdominal surgery history. The study highlights the utility of imprint cytology in diagnosing rare extra-pelvic presentations of the disease. This paper is centrally about endometriosis — specifically primary umbilical endometriosis diagnosed via cytopathological analysis.

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Abstract

We could rule out malignancy and suggest endometriosis based on imprint cytology findings for an umbilical specimen. A 44-year-old woman suffering abdominal discomfort for two weeks and cyclic umbilical pain for eight years had no history of previous abdominal surgery. Examination showed a firm round 3×2cm nodule at the umbilicus and 10cm uterine myoma. The umbilical mass was excised during hysterectomy. Imprint cytology yieled tubular clusters appearing to be normal proliferative-phase endornetriosis, and endometrial stromal cells.
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抄録 We could rule out malignancy and suggest endometriosis based on imprint cytology findings for an umbilical specimen. A 44-year-old woman suffering abdominal discomfort for two weeks and cyclic umbilical pain for eight years had no history of previous abdominal surgery. Examination showed a firm round 3×2cm nodule at the umbilicus and 10cm uterine myoma. The umbilical mass was excised during hysterectomy. Imprint cytology yieled tubular clusters appearing to be normal proliferative-phase endornetriosis, and endometrial stromal cells. © 特定非営利活動法人 日本臨床細胞学会

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endometriosis

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