Polypoid endometriosis – A rare entity of endometriosis mimicking ovarian cancer

Cleo Tsai, Tsai C, Huang SH, Shih-Hung Huang, Shih‐Hung Huang, Chia‐Yen Huang, Huang CY, Chia-Yen Huang
Taiwanese journal of obstetrics & gynecology · 2019 · vol. 58(3) , pp. 328–329 · doi:10.1016/j.tjog.2019.03.007 · PMID:31122518 · W2945583084
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⚙ AI-generated summary by claude@2026-07, 2026-07-28 ⓘ

This case report and literature review describes a rare instance of polypoid endometriosis in a young woman that mimicked ovarian cancer but was successfully treated with resection and hormonal therapy.

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Abstract

OBJECTIVE: To report a rare case of polypoid endometriosis with initial impression of ovarian cancer and review the published literature about this disease. CASE REPORT: A 23-year-old female presented with sudden onset of acute lower abdominal pain. Image studies revealed an irregular shaped, heterogeneous mass at the cul-de-sac, but without ascites or enlargement of pelvic or paraaortic lymph nodes. Blood tests showed an elevated CA-125 value (1317 U/ml). Resection of the mass was performed by laparotomy and the frozen section and final pathology both revealed polypoid endometriosis. Post-operative gonadotropin-releasing hormone agonist was given for 6 months followed by oral contraceptives. She remained disease free 3 years after operation. CONCLUSION: Polypoid endometriosis is an uncommon and distinctive variant of endometriosis. Gynecologists should be aware of this rare form of a commonly benign disease to avoid excessive resection in younger patients of childbearing age.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Polyps CA-125 Antigen CA-125 Antigen Diagnosis, Differential Endometriosis Endometriosis Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Humans Ovarian Neoplasms Ovarian Neoplasms Polyps Ultrasonography 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.

References (9)

Cited by (12)

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