Histological Confirmation of Endometriosis in a 9-Year-Old Girl Suffering from Unexplained Cyclic Pelvic Pain since Her Eighth Year of Life
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Abstract
OBJECTIVE: Endometriosis is considered an estrogen-dependent disease of women in their reproductive age and characterized by the occurrence of stromal cells and endometrial-like glands outside the uterine cavity. PATIENT: A report of a 9-year-old premenarcheal girl who was transferred to the Endometriosis Research Center Berlin-Brandenburg Level III (Academic Teaching Hospital) because of cyclic pelvic pain since her 8th year of life. INTERVENTIONS: History, examination, abdominal ultrasound, laboratory tests, laparoscopic resection of visible lesions. Paraffin-embedded histology (HE staining) and immunohistochemistry. RESULTS: Endometriosis, defined as the presence of stromal tissue and epithelial glands, was confirmed both by HE staining and immunohistochemistry (CD10), respectively. CONCLUSIONS: Young pre- or perimenarcheal girls with chronic/cyclic pelvic pain can have endometriosis, and thus the possibility of endometriosis should be included in the differential diagnosis.
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References (8)
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- Management of Adolescent Chronic Pelvic Pain from Endometriosis via openalex
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Cited by (25)
- In Utero and Early-Life 2022
- A Revised Stem Cell Theory for the Pathogenesis of Endometriosis 2022
- Clinical Aspects of Adolescent Endometriosis 2021
- Reproductive Tract Anomalies in Adolescent Endometriosis 2020
- Neonatal Uterine Bleeding and Adolescent Endometriosis 2020
- Laparoscopic Surgery in Adolescent Endometriosis 2020
- Evolutionäre Aspekte in der Pathogenese und Pathophysiologie von Adenomyose und Endometriose 2019
- Disorders of the Peritoneum 2018
- Unus pro omnibus, omnes pro uno: A novel, evidence-based, unifying theory for the pathogenesis of endometriosis 2017
- Imaging Emergency Pelvic Diseases in Girls 2017
- Cells with “Stemness”: Seeds for endometriosis? 2016
- Urinary Tract Endometriosis. 2015
- Endometriosis in association with Herlyn-Werner-Wunderlich 2014
- Endometriosis in association with Herlyn-Werner-Wunderlich syndrome 2014
- Adenomyosis and endometriosis. Re-visiting their association and further insights into the mechanisms of auto-traumatisation. An MRI study 2014
- Endometriosis: a life cycle approach? 2013
- Prise en charge diagnostique et thérapeutique de l'endométriose par les médecins généralistes de Seine-Maritime 2012
- Embryologic origin of endometriosis: Analysis of 101 human female fetuses 2011
- Peculiar aspects of endometriosis in adolescents 2010
- The Diagnosis and Treatment of Deep Infiltrating Endometriosis 2010
- Peculiar Aspects of Endometriosis in Adolescents 2010
- Common problems in pediatric and adolescent gynecology 2010
- Pre-natal exposure of mice to bisphenol A elicits an endometriosis-like phenotype in female offspring 2010
- Expression of the Epidermal Growth Factor Receptor Family in Correlation to the Estrogen Receptor α Expression in Peritoneal and Ovarian Endometriosis 2009
- Expression of the epidermal growth factor receptor family in correlation to the estrogen receptor a expression in peritoneal and ovarian endometriosis 2009
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