Postmenopausal Invasive Endometriosis Requiring Supralevator Pelvic Exenteration
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A postmenopausal woman with recurrent endometriosis underwent supralevator pelvic exenteration for a pelvic mass, which was diagnosed as invasive endometriosis without malignancy.
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Abstract
In Brief BACKGROUND: Endometriosis is rare in postmenopausal women. We report a case of invasive pelvic endometriosis in a postmenopausal woman requiring a supralevator pelvic exenteration for palliation of symptoms and for tissue diagnosis. CASE: A 65-year-old woman with a history of total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis at age 43 years presented with acute vaginal bleeding, hematuria, and a recently diagnosed pelvic mass. Biopsies revealed endometriosis, and she underwent supralevator pelvic exenteration with vaginectomy, end colostomy, ileal conduit, and coagulation of endometriotic implants. Pathologic examination showed invasive endometriosis and no evidence of malignancy. CONCLUSION: Endometriosis should remain on the differential diagnosis for pelvic mass in a postmenopausal woman, although suspicion for malignancy should remain high. A case of invasive pelvic endometriosis in a postmenopausal woman requires a supralevator pelvic exenteration for palliation of symptoms and for tissue diagnosis.
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Cited by (13)
- Laparoscopic posterior pelvic exenteration for invasive endometriosis of the rectum – a video vignette 2020
- Postmenopausal endometriosis, where are we now? 2019
- Faculty Opinions recommendation of Postmenopausal deep infiltrating endometriosis of the colon: rare location and novel medical therapy. 2019
- Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical Therapy 2018
- ENDOMETRIOSIS IN A POSTMENOPAUSAL WOMAN 2017
- RISK FACTORS AND DIAGNOSIS OF GESTATIONAL DIABETES MELLITUS 2017
- OVARIAN RESERVE IN PRETERM GIRLS AT BIRTH AND IN PUBERTY 2017
- OBESITY AND METABOLIC SYNDROME IN OBSTETRICS AND GYNECOLOGY 2017
- RECENT ADVANCES IN FEMALE PHYSIOLOGY AND PATHOLOGY 2017
- ANTIBODIES TO ESTRADIOL, PROGESTERONE, AND BENZO[A]PYRENE DETERMINE RISK OF PREMATURE RUPTURE OF MEMBRANES AT 22+0–36+6 WEEKS 2017
- Endometriosis resembling endometrial cancer in a postmenopausal patient 2017
- FEATURES OF PAPILLOMAVIRUS INFECTION IN HUMAN IMMUNODEFICIENCY VIRUS-INFECTED WOMEN 2017
- The use of Hormone Therapy after Surgery for Endometriosis: An Analysis 2016
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- pubmed
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