Colonization of intestinal endometriosis by benign colonic mucosa: a pattern potentially misdiagnosed as invasive mucinous carcinoma

Ann M Ponsford Tipps, Ann Tipps, Tipps AM, Noel Weidner, Weidner N
International journal of surgical pathology · 2010 · vol. 19(2) , pp. 259–262 · doi:10.1177/1066896910388644 · PMID:21087979 · W2108606009
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This study describes a case of intestinal endometriosis that mimicked invasive mucinous carcinoma due to benign colonic mucosa colonizing deep endometriotic glands.

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Abstract

Endometriosis is well known for creating diagnostic pitfalls for pathologists. It may produce masses mimicking neoplasms or cause diagnostic quandaries, particularly when the patient age, location, and/or epithelial appearance are atypical. This study reports a patient with endometriosis causing rectal bleeding and involving the cecum. It produced a mass clinically considered appendiceal. The endometriosis was focally lined by intestinal epithelium including Paneth cells. In the deep endometriotic glands embedded within intestinal wall, direct fusion of the intestinal and the endometrial epithelium-the benign intestinal epithelium apparently colonizing the endometriotic foci-was found. The mass effect, plus deep-seated intestinal epithelium, closely mimicked invasive well-differentiated mucinous carcinoma. This is yet another peculiar presentation of endometriosis with potential for misinterpretation as a more serious condition, specifically well-differentiated mucinous carcinoma of the cecum or appendix.

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Condition tags

endometriosis

MeSH descriptors

Adenocarcinoma, Mucinous Adenocarcinoma, Mucinous Endometriosis Endometriosis Appendix Appendix Female Female Humans Humans Intestinal Mucosa Intestinal Mucosa Intestinal Neoplasms Intestinal Neoplasms

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (20)

Cited by (9)

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