Pre-operative Diagnosis of Scar Endometriosis by Aspiration Cytology

Uma Handa, Irneet Mundi, Harsh Mohan
In: Journal of Endometriosis · 2011 · vol. 3(4) , pp. 218–221 · doi:10.5301/je.2012.9067 · W2192092828
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Aspiration cytology effectively diagnosed scar endometriosis in three patients by identifying epithelial cells, stromal cells, and hemosiderin-laden macrophages, which was later confirmed by histopathology.

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Abstract

Purpose Endometriosis is a fairly common disease found in a variety of extra-uterine locations. Abdominal wall scar endometriosis usually presents as a cutaneous or subcutaneous mass which can be investigated easily by the noninvasive method of fine needle aspiration cytology (FNAC). Methods FNA was performed by a cytopathologist on three patients presenting with varying sized swellings near the cesarean section scar. Results The cytologic smears revealed a combination of epithelial cells, stromal cells, and variable number of hemosiderin-laden macrophages. A diagnosis of endometriosis was provided on FNAC and later confirmed on histopathology. Conclusions FNAC is a valuable, cost-effective. and safe tool for diagnosing scar endometriosis and thus permits correct management of the patient.

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endometriosis

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