Stromal Endometriosis of the Uterine Cervix
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This paper reports on six cases of cervical endometriosis composed primarily of stromal tissue, presenting with varied symptoms and distinct histological features that may mimic other neoplasms.
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Abstract
Six cases of endometriosis of the uterine cervix characterized by the exclusive or almost exclusive presence of endometriotic stroma are reported. These cases of "stromal endometriosis" were encountered in women 29 to 64 (mean, 43) years of age. Three of them presented with abnormal bleeding, one presented with weight loss and abdominal swelling due to an ovarian clear cell adenocarcinoma, and two were asymptomatic. None of the patients had a history of pelvic endometriosis. In three cases, red lesions of the ectocervical mucosa were recognized on pelvic examination. Histological examination of the lesions showed well circumscribed foci within the superficial stroma of the cervix that were composed of an admixture of closely packed cells resembling endometrial stromal cells, small blood vessels, and extravasated erythrocytes. Endometrial-type glands were absent in the initial sections in all of the cases, but rare glands were found in deeper sections in one case. Apart from the absence or paucity of endometrial glands, the clinical and pathological features of the lesions were similar to those of previously described cases of superficial endometriosis of the cervix. Because of the pure or almost pure stromal composition of the lesion, however, it can be confused histologically with benign and malignant neoplasms, particularly low-grade endometrial stromal sarcoma and Kaposi's sarcoma.
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Cited by (28)
- Atypical endometriosis: a review of an incompletely understood putative precursor of endometriosis-associated ovarian carcinoma 2023
- A Rare Case of Intestinal Low-Grade Endometrial Stromal Sarcoma With Glandular Differentiation and Associated Endometriosis 2021
- Deciduosis of the Appendix During Pregnancy 2020
- Endometriosis‐related pathology: a discussion of selected uncommon benign, premalignant and malignant lesions 2019
- Diseases of the Peritoneum 2019
- Diseases of the Peritoneum 2018
- Case Report: A Laparoscopic Treated Case of Deep Infiltrating Endometriosis with Vaginal Invasion Diagnosed by Vaginal Cytology 2015
- Intestinal Obstruction from Multifocal Endometriosis: A Case Report and Review of Literature 2014
- Altered Biological Characteristics of Eutopic and Ectopic Endometrium 2014
- Fine Needle Aspiration Cytology: A Tool to Diagnose Cervical and Vaginal Endometriosis in Low-Income Places 2013
- CXCL8 enhances proliferation and growth and reduces apoptosis in endometrial stromal cells in an autocrine manner via a CXCR1-triggered PTEN/AKT signal pathway 2012
- Abdominal Wall Endometriosis Associated With Ventriculoperitoneal and Lumboperitoneal Shunts 2011
- Pitfalls in the diagnosis of endometriosis: a condition characterized by a plethora of unusual histological features 2011
- Diseases of the Peritoneum 2010
- Pathology of Endometriosis and Lesions of the Secondary Müllerian System 2008
- Clear cell adenocarcinoma of the uterine cervix arising from a background of cervical endometriosis 2008
- Morphological variations of scar-related and spontaneous endometriosis of the skin and superficial soft tissue: A study of 71 cases with emphasis on atypical features and types of müllerian differentiations 2007
- Endometrial cells from women with endometriosis have increased adhesion and proliferative capacity in response to extracellular matrix components: towards a mechanistic model for endometriosis progression 2007
- CD10 is useful in demonstrating endometrial stroma at ectopic sites and in confirming a diagnosis of endometriosis 2002
- Utility of Trichrome and Reticulin Stains in the Diagnosis of Superficial Endometriosis of the Uterine Cervix 2001
- Low-Grade Endometrial Stromal Sarcoma of the Ectocervix after Therapy for Breast Cancer 2000
- Pregnancy associated endometriosis with pronounced stromal myxoid change 2000
- Two Previously Unemphasized Features of Endometriosis: Micronodular Stromal Endometriosis and Endometriosis with Stromal Elastosis 2000
- Cervical/vaginal endometriosis with atypia: A cytohistopathologic study 1999
- Catamenial pneumothorax caused by diaphragmatic stromal endometriosis 1999
- Focal endometrial stromal hyperplasia 1998
- Stromal endometriosis of the cervix simulating Kaposi’s sarcoma 1997
- Diseases of the Peritoneum 1994
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