Fine‐needle aspiration cytology of scar endometriosis: Study of seven cases and literature review

Francisco das Chagas Medeiros, Diane Isabelle Magno Cavalcante, Maria Angelina da Silva Medeiros, José Eleutério
Diagnostic cytopathology · 2010 · vol. 39(1) , pp. 18–21 · doi:10.1002/dc.21319 · PMID:20058306 · W2008964324
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Fine-needle aspiration cytology revealed endometrial-like epithelial and stromal cells, hemosiderin-laden macrophages, and occasional decidualization in seven scar endometriosis cases.

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Abstract

Endometriosis is defined as the presence of endometrial-like glands and stroma outside the uterine endometrial lining. Endometrial tissue has also been identified in numerous surgical or procedure scars, including cesarean section and laparoscopic trocar tract. A prospective study was conducted at Maternidade-Escola Assis Chateaubriand, Faculty of Medicine, Federal University of Ceara, Brazil in seven patients with abdominal wall mass pathologically proven as scar endometriosis from January 2004 to December 2008. All cases were submitted to fine-needle aspiration cytology (FNAC). Age ranged from 21 to 42 years old (mean: 30) with parity ranging from 0 to 3 (mean: 1.4). The preceding history of pelvic procedures was miomectomy (1 of 7), cesarean section (3 of 7), and diagnostic laparoscopy (3 of 7). The complaints occurred about 18 months after the surgical proceeding. The FNAC findings were endometrial-like epithelial cells (6 of 7) and stromal cells (6 of 7); decidualization occurred in 2 of 7 cases. Hemosiderin-laden macrophages were present in all cases. FNAC is a fast and accurate method to make the diagnosis before the surgery, avoiding errors in the approach of the abdominal wall endometriosis' scars.

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Condition tags

endometriosis

MeSH descriptors

Cicatrix Endometriosis Abdominal Wall Abdominal Wall Abdominal Wall Adult Biopsy, Fine-Needle Cicatrix Cicatrix Endometriosis Female Humans Prospective Studies Young Adult

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (50)

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