Endometriosis of the bowel with lymph node involvement. A report of three cases and review of the literature
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This case report describes a patient with endometriosis of the bowel exhibiting lymph node involvement, detailing its surgical management and pathological findings.
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Abstract
Three cases of endometriosis of the bowel with lymph node involvement were studied. Histologically, endometriotic glands with typical stroma were recognized throughout the intestinal wall, from the subserosal tissue to the mucosa. Foci of endometriosis were found in a number of pericolic lymph nodes occupying the subcapsular area or the cortex. The cytological smears were cellular, composed of large sheets of mucous columnar cells of intestinal origin, mixed with groups of recognizable endometrial cells and smaller spindly cells of endometrial stroma. Immunohistochemically, endometriotic cells showed positivity for cytokeratin and EMA, and they retained immunoreactivity for estrogen and progesteron in the intestinal lesions, as well as in the lymph nodes. Lymph nodal endometriosis was disclosed in two out of three cases only by multistep section examination of the pericolic lymph nodes, previously reported as negative for this feature.
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References (10)
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- Digestive system deep infiltrating endometriosis: What do we know 2023
- Endometriosis in para-aortic lymph node resembling a malignancy: a case report and literature review 2022
- Histotyping and grading of endometriosis and its association with clinico-pathological parameters 2022
- Gastrointestinal deep infiltrative endometriosis with lymph node involvement 2021
- Comparative immunohistochemical study of deep infiltrating endometriosis, lymph node endometriosis and atypical ovarian endometriosis including description of a perineural invasion 2020
- Case Report of Cerebellar Endometriosis 2020
- Pathologic Characteristics of Bowel Endometriosis 2020
- Rare manifestation of endometriosis causing complete recto-sigmoid obstruction: A case report 2016
- An unusual clinical presentation and histological findings provide insight into the pathogenesis of endometriosis 2016
- An unusual clinical presentation and histological findings provide insight into the pathogenesis of endometriosis 2016
- Endometrioma of the Ileocecal Valve Causing Intestinal Obstruction with Evidence of Locoregional Lymphatic Involvement 2015
- Immunohistochemical Investigation of Metastasis-Related Chemokines in Deep-Infiltrating Endometriosis and Compromised Pelvic Sentinel Lymph Nodes 2015
- The role of the lymphatic system in endometriosis: a comprehensive review of the literature 2015
- Deep endometriosis with pericolic lymph node involvement: a case report and literature review 2014
- Recurrence of endometriosis after hysterectomy 2014
- Spread of endometriosis to pelvic sentinel lymph nodes: gene expression analysis 2013
- Bowel Endometriosis with Hemoperitoneum Complicating Pregnancy 2013
- Endométriose pariétale sur cicatrice de césarienne : à propos de 3 cas 2012
- Endometriosis of the terminal ileum: a diagnostic dilemma 2012
- Pitfalls in the diagnosis of endometriosis: a condition characterized by a plethora of unusual histological features 2011
- Endometriosis and regional lymph node involvement in a rat model 2011
- Lymphatic spread of endometriosis to pelvic sentinel lymph nodes: a prospective clinical study 2011
- Regional lymphatic spread in women with pelvic endometriosis 2011
- Deeply infiltrating endometriosis of the sigmoid and lymph nodes simulating obstructive neoplasm 2010
- Endometriosis 2009
- Increased immunoreactivity to SLIT/ROBO1 in ovarian endometriomas: a likely constituent biomarker for recurrence 2009
- [Intestinal endometriosis. Current status] 2007
- Lymph node involvement and lymphovascular invasion in deep infiltrating rectosigmoid endometriosis 2007
- A rare case of rectovaginal endometriosis with lymph node involvement 2006
- Endometriosis involving the ileocaecal junction with regional lymph node involvement in the baboon--striking pathological finding identical between the human and the baboon: a case report 2006
- Sister Joseph umbilical nodule coexisting with endometriosis from endometrial carcinoma 2005
- Endometrial stromal sarcoma resembling adenomyosis and menstrual-phase endometrium 2004
- Aggressive endometriosis 2003
- Endometriosis simulating a colonic obstructive neoplasm 2003
- Endometriosis de rectosigma con afección de los ganglios linfáticos 2003
- Endometriosis causing cyclic compression of the right external iliac vein with cyclic edema of the right leg and thigh 2002
- Disseminação linfática na endometriose colorretal 2000
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- europepmc
- last seen: 2026-10-11T09:27:45.537177+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T22:00:02.201502+00:00
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