Episiotomy scar endometriosis diagnosed on cytology - a case report

Dnyanada Kokode, A. Norris Wilkinson, Sadhana Mahore, Trupti Dongre
In: Journal of Basic and Clinical Reproductive Sciences · 2017 · vol. 6(1) · W2755797936
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This case report describes the cytological diagnosis of endometriosis in an episiotomy scar, highlighting the diagnostic challenges posed by atypical features and limited clinical information.

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Abstract

Perineal endometriosis is a rare disease characterized by the presence of ectopic endometrial stroma and glands in the perineum. Most commonly observed in the episiotomy scar after normal vaginal deliveries, perineal endometriosis is not often considered in the differential diagnosis of perineal masses. This could lead to unnecessary investigations and inadequate patient treatments. Scar endometriosis is an infrequent type of extrapelvic endometriosis. Scar endometriosis can be a diagnostic challenge in Fine needle aspiration cytology (FNAC) smears that at times, is the first diagnostic modality in some cases. The challenge is amplified when the clinical details are limited and cytopathological features reveal nuclear atypia.

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Condition tags

endometriosis

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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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