Hasfali endometriosis: differenciáldiagnosztikai nehézségek a radiológus szemszögéből

Csenge Csorba, Norbert Pásztor, Emese Szalma, Gabriella Kovács, András Palkó, Zsuzsanna Fejes
Orvosi hetilap · 2019 · vol. 160(35) , pp. 1395–1402 · doi:10.1556/650.2019.31461 · PMID:31448642 · W2969388526
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study analyzed 12 ultrasound-guided interventions for uncertain abdominal wall lesions, finding endometriosis in six patients, particularly younger ones with surgical history.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This retrospective study reviewed ultrasound-guided interventions performed between 2016 and 2018 on female patients at the University of Szeged and affiliated diagnostic centers for incidentally found abdominal wall lesions of unknown dignity, with one lesion detected as a CT finding and the rest as ultrasound findings; 12 cases met inclusion criteria. Mean patient age was 59 years (29–79) and mean lesion size was 34.4 mm (20–49), and imaging indications uniformly involved suspected malignancy, with MRI performed before biopsy in four cases and histologic diagnosis sometimes established after surgical excision without ultrasound-guided sampling. Histology confirmed endometriosis in six cases (all premenopausal) and metastases in six cases, with one additional case showing a serous epithelial malignancy and one abdominal wall abscess, and the paper notes a key limitation that indications were malignancy suspicion rather than a dedicated diagnostic pathway for endometriosis. Relevance to endometriosis: endometriosis was the histologic diagnosis in 6 of 12 abdominal wall lesion cases and was highlighted as occurring more often in younger, premenopausal women, especially with obstetric or gynecologic surgical history, though this study is framed from the radiologist’s perspective on differential diagnosis. This paper is centrally about endometriosis — abdominal wall endometriosis and its differential diagnostic challenges from radiology.

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Abstract

The incidence of endometriosis, including atypical forms of the disease, has been continuously growing, thus increasingly challenging for the imaging specialists as well. We conducted a retrospective study to analyze the results of ultrasound-guided interventions between 2016 and 2018. All interventions were performed in female patients due to uncertain abdominal wall lesions at the University of Szeged, Hungary. The abdominal wall lesions were incidentally detected, one by CT, the others by ultrasound examinations. We identified 12 cases during the study period. The average age of the patients was 59 years (29-79), 8 of them had abdominal surgery in their medical history. The mean diameter of the masses was 34.4 mm (20-49 mm). Since the indication of imaging examinations was the evaluation of a known or suspected malignancy, four patients had undergone an MRI prior to the biopsy. In addition, ultrasound-guided biopsy was not performed in another two patients, and the diagnosis was established by histological examination of the surgically removed specimens. The histological examination revealed malignant primary serous epithelial tumor in one case, metastases in six cases, endometriosis in six patients and abdominal wall abscess was found in one patient. Endometriosis was more frequent in the younger patients. The likelihood of endometriosis as a cause of abdominal wall lesions of younger, premenopausal female patients is rather high, especially with obstetrical or gynaecological operations in the medical history. Ultrasound plays a primary role in the detection and therapy planning of these lesions. Orv Hetil. 2019; 160(35): 1395-1403.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Abdominal Wall Endometriosis Abdominal Wall Abdominal Wall Adult Aged Biopsy Endometriosis Endometriosis Female Humans Hungary Middle Aged Radiologists Retrospective Studies Ultrasonography

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