Polypoid endometriosis of the ovary and müllerianosis of pelvic lymph nodes mimicking an ovarian carcinoma with lymph node metastasis

Yasushi Iida, Junya Tabata, Takashi Yorozu, Satomi Kitai, Kazu Ueda, Motoaki Saito, Nozomu Yanaihara, Kyosuke Yamada, Aikou Okamoto
International cancer conference journal · 2017 · vol. 6(4) , pp. 145–148 · doi:10.1007/s13691-017-0295-9 · PMID:31149490 · W2606226635
article OA: bronze CC0 ⤵ 8 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This report describes a rare case of polypoid endometriosis in the ovary co-occurring with müllerianosis in pelvic lymph nodes, mimicking ovarian carcinoma with metastasis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper reports a rare 44-year-old case in which magnetic resonance imaging showed an ovarian mass with papillary nodules up to 3.0 cm and enlarged pelvic lymph nodes, raising concern for ovarian carcinoma with lymph node metastasis. The authors considered polypoid endometriosis in the differential diagnosis based on MRI and included it in the intraoperative consultation, but carcinoma could not be excluded. Histological examination ultimately diagnosed polypoid endometriosis of the left ovary with glandular hyperplasia and müllerianosis in the obturator pelvic lymph nodes, and they note it as the first reported case of this combination in pelvic lymph nodes. This paper is centrally about endometriosis — it describes polypoid endometriosis of the ovary and related lymph-node müllerianosis that mimicked ovarian carcinoma, with no specific adenomyosis focus.

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endometriosis

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