Endosalpingiosis in the omentum: a study of autopsy and surgical material

K R Zinsser, Zinsser KR, J E Wheeler, Wheeler JE
The American journal of surgical pathology · 1982 · doi:10.1097/00000478-198203000-00003 · PMID:7102891
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This study found that benign endosalpingiotic inclusions occur exclusively in females and are associated with inflammatory tubal disease and ovarian tumors, a finding relevant to understanding endometriosis-like pathology.

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Zinsser and Wheeler examined omental tissue from autopsy and surgical specimens to identify benign glandular inclusions, finding none in male subjects but detecting them in 14.8% of female surgical cases. The study established that endosalpingiotic inclusions occur exclusively in women and are strongly associated with inflammatory tubal disease such as chronic salpingitis or hydrosalpinx. Although the inclusions themselves are benign, their presence alongside ovarian tumors necessitates careful histological exclusion of well-differentiated metastases. This paper is centrally about endometriosis — specifically discussing endosalpingiosis, a condition often found concurrently with endometriotic cysts and considered part of the spectrum of Müllerianosis.

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Abstract

Omenta removed either at surgery or autopsy were examined for benign glandular inclusions. Multiple random sections failed to reveal these inclusions in any of the 37 male or 27 female autopsy specimens. None of the 22 male surgical specimens contained benign cysts, whereas these inclusions were found in 19 of 128 (14.8%) of the female surgical specimens. One female patient had endometriotic cysts, two had mesothelial cysts, and 13 had inclusions histologically similar to oviduct epithelium (endosalpingiosis). Another female had both endometriotic cysts and endosalpingiosis, whereas two had both mesothelial cysts and endosalpingiosis. All 16 patients with endosalpingiosis had inflammatory tubal disease (e.g., chronic salpingitis, hydrosalpinx, tubal pregnancy). Four of these 16 females also had an ovarian tumor. These ovarian tumors included one serous cystadenoma, two serous cystadenomas of borderline malignancy, and one serous cystadenocarcinoma. We conclude that the endosalpingiotic inclusions are benign and occur exclusively in females. Since they are found in association with ovarian tumors, it is important to exclude well-differentiated metastases. Our findings support a close relationship between inflammatory tubal disease and endosalpingiosis.
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Endosalpingiosis in the omentum A study of autopsy and surgical material - Kendall R. Zinsser - James E. Wheeler Omenta removed either at surgery or autopsy were examined for benign glandular inclusions. Multiple random sections failed to reveal these inclusions in any of the 37 male or 27 female autopsy specimens. None of the 22 male surgical specimens contained benign cysts, whereas these inclusions were found in 19 of 128 (14.8%) of the female surgical specimens. One female patient had endometriotic cysts, two had mesothelial cysts, and 13 had inclusions histologically similar to oviduct epithelium (endosalpingiosis). Another female had both endometriotic cysts and endosalpingiosis, whereas two had both mesothelial cysts and endosalpingiosis. All 16 patients with endosalpingiosis had inflammatory tubai disease (e.g., chronic salpingitis, hydrosalpinx, tubai pregnancy). Four of these 16 females also had an ovarian tumor. These ovarian tumors included one serous cystadenoma, two serous cystadenomas of borderline malignancy, and one serous cystadenocarcinoma. We conclude that the endosalpingiotic inclusions are benign and occur exclusively in females. Since they are found in association with ovarian tumors, it is important to exclude well-differentiated metastases. Our findings support a close relationship between inflammatory tubai disease and endosalpingiosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Omentum Omentum Peritoneal Neoplasms Adolescent Adult Aged Child Child, Preschool Endometriosis Endometriosis Endometriosis Fallopian Tube Diseases Fallopian Tube Diseases Female Humans Infant Male Middle Aged Peritoneal Diseases

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