Cell block preparation – An adjunct to fine-needle aspiration cytology – unveiled the diagnosis

Kempula Geethamala, MeenaN Jadhav, RekhaM Haravi, Shreekant K Kittur
In: Clinical Cancer Investigation Journal · 2017 · vol. 6(5) , pp. 219 · doi:10.4103/ccij.ccij_55_17 · W2768853089
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report demonstrates that cell block preparation, used adjunctively with fine-needle aspiration cytology, can confirm the preoperative diagnosis of scar endometriosis in patients with abdominal masses.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper reports a single case of a 28-year-old woman with a mass on the anterior abdominal wall near a prior surgical scar, where fine-needle aspiration cytology showed features suggestive of scar endometriosis. The authors performed additional cell block preparation using aspirate material, which confirmed the endometriosis diagnosis preoperatively, addressing the statement that scar endometriosis is often diagnosed only after excision. The main limitation is that this is a case report, so findings are not generalized beyond this instance. This paper is centrally about endometriosis — specifically scar endometriosis diagnosed using cell block preparation alongside FNAC.

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Abstract

Endometriosis is defined as the presence of functioning endometrium outside the uterus. Scar endometriosis is a rare entity reported in 0.03%–1.7% of women following cesarean section scars. The diagnosis is frequently made only after excision of the diseased tissue. We present a case of 28-year-old female who presented with mass on anterior abdominal wall adjacent to a previous surgical scar. Fine-needle aspiration cytology (FNAC) of the mass revealed sheets of epithelial cells, spindle-shaped cells, and hemosiderin-laden macrophages suggestive of endometriosis. Additional cell block preparation done with the aspirate material confirmed the diagnosis. The present case highlights the use of cell block preparation together with FNAC which consecutively helps in preoperative diagnosis of scar endometriosis and facilitates the best management strategy.
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Deniz Publication Clinical Cancer Investigation Journal ISSN Print: 2278-1668, Online: 2278-0513 ISSN Print: 2278-1668, Online: 2278-0513 ARTICLE Year: 2017 | Volume: 6 | Issue: 5 | Page: 219-222 View issue Abstract Endometriosis is defined as the presence of functioning endometrium outside the uterus. Scar endometriosis is a rare entity reported in 0.03%–1.7% of women following cesarean section scars. The diagnosis is frequently made only after excision of the diseased tissue. We present a case of 28-year-old female who presented with mass on anterior abdominal wall adjacent to a previous surgical scar. Fine-needle aspiration cytology (FNAC) of the mass revealed sheets of epithelial cells, spindle-shaped cells, and hemosiderin-laden macrophages suggestive of endometriosis. Additional cell block preparation done with the aspirate material confirmed the diagnosis. The present case highlights the use of cell block preparation together with FNAC which consecutively helps in preoperative diagnosis of scar endometriosis and facilitates the best management strategy. Cite this article Vancouver Geethamala K, Jadhav M, Haravi R, Kittur S. Cell block preparation – An adjunct to fine-needle aspiration cytology – unveiled the diagnosis. Clin Cancer Investig J. 2017;6(5):219-22. https://doi.org/10.4103/ccij.ccij_55_17 APA Geethamala, K., Jadhav, M., Haravi, R., & Kittur, S. (2017). Cell block preparation – An adjunct to fine-needle aspiration cytology – unveiled the diagnosis. Clinical Cancer Investigation Journal, 6(5), 219-222. https://doi.org/10.4103/ccij.ccij_55_17 |

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