Ovarian endomyometrioma with atypias: description of a case

Zannoni G.F., Gian Franco Zannoni, Valerio Gaetano Vellone, Guido Fadda, Massimiliano Guerriero, A. Carbone, Arnaldo Carbone
Fertility and sterility · 2007 · vol. 88(5) , pp. 1438.e15–1438.e17 · doi:10.1016/j.fertnstert.2007.01.049 · PMID:17362943 · W1995527563
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This case report describes an ovarian endomyometrioma exhibiting cellular atypias, presenting a rare histological finding in gynecological pathology.

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Abstract

ObjectiveTo report on a patient with endomyometrioma with atypias and to review the literature.DesignCase report and literature review.SettingClinical and pathologic.Patient(s)A 33-year-old nulliparous woman with right flank pain and infertility.Main outcome measure(s)Accuracy of diagnosis, hypotheses on endomyometrioma pathogenesis.Result(s)A 33-year-old woman with an 8-cm right ovarian mass is reported. An extensive review of the literature on this rare disease revealed only nine well-documented cases with different views on pathogenesis. The final diagnosis required an accurate sampling and the aid of immunohistochemical markers.Conclusion(s)Endomyometrioma is an extremely rare entity. None of the previous cases showed cytologic atypias. The finding of atypias, in analogy with endometriosis, suggests the müllerian metaplastic theory.

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MeSH descriptors

Myometrium Ovarian Diseases Adult Female Humans Myometrium Ovarian Diseases Ovarian Diseases

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License: CC0 · commercial use OK