Idiopathic Postmenopausal Decidual Reaction of the Endometrium. A Clinicopathologic Analysis of Four Cases

Philip B. Clement, Robert E. Scully
In: International Journal of Gynecological Pathology · 1988 · vol. 7(2) , pp. 152–161 · doi:10.1097/00004347-198805000-00006 · PMID:3397209 · W2051742534
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This paper describes four cases of idiopathic endometrial decidual reaction in postmenopausal women, whose pathological features mimicked malignancy but lacked a source of progesterone excess.

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Abstract

The clinical and pathological features of four cases of endometrial decidual reaction in postmenopausal women are described. There was no evident exogenous or endogenous source of progesterone excess in any of the patients. The pathological findings, including bulky polypoid tissue, necrosis, cellular pleomorphism, signet-ring-like decidual cells, and glandular atypia, raised the possibility of a malignant tumor in two of the cases. This report appears to be the first documenting an idiopathic decidual reaction in the endometrium of a postmenopausal patient.
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Original Contribution: PDF Only Idiopathic Postmenopausal Decidual Reaction of the Endometrium. A Clinicopathologic Analysis of Four Cases - Philip B. Clement - Robert E. Scully International Journal of Gynecological Pathology 7(2):p 152-161, May 1988. Summary The clinical and pathological features of four cases of endometrial decidual reaction in postmenopausal women are described. There was no evident exogenous or endogenous source of progesterone excess in any of the patients. The pathological findings, including bulky polypoid tissue, necrosis, cellular pleomorphism, signet-ring-like decidual cells, and glandular atypia, raised the possibility of a malignant tumor in two of the cases. This report appears to be the first documenting an idiopathic decidual reaction in the endometrium of a postmenopausal patient. Copyright ©1988International Society of Gynecological Pathologists

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