The many faces of endometriosis

The many faces of endometriosis

Endometriosis is a common disease; however, unusual findings may cause diagnostic difficulties. We present herein three cases illustrating different morphological appearances of endometriosis: 1) endometriosis with atypical hyperplasia associated with bilateral ovarian carcinoma (mixed clear cell/en...

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Bibliographic Details
Published in:Autopsy & case reports Vol. 12; p. e2021409
Main Authors: Souza, Marcelo Luis Pereira de, Costa, Talita Porto da, Freitas, Nathanael Pinheiro de, Souza, Maiara Ferreira de, Athanazio, Daniel Abensur
Format: Journal Article
Language:English
Published: Hospital Universitário da Universidade de São Paulo 2022
University of São Paulo
Subjects:
ANATOMY & MORPHOLOGY
Clinical Case Report
Endometriosis
Ovary
PATHOLOGY
Ovary
Pathology
Endometriosis
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Summary:Endometriosis is a common disease; however, unusual findings may cause diagnostic difficulties. We present herein three cases illustrating different morphological appearances of endometriosis: 1) endometriosis with atypical hyperplasia associated with bilateral ovarian carcinoma (mixed clear cell/endometrioid in the left ovary and endometrioid in the right ovary); 2) deep infiltrating endometriosis with intravascular spread, polypoid configuration in peritoneal surfaces, and involvement of a lymph node; and 3) decidualized endometriosis with prominent myxoid/mucinous change and multivacuolated (pseudoxanthoma) cells. Awareness of uncommon morphological manifestations of endometriosis is important to avoid improper consideration of malignancy.
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Authors’ contributions: Daniel Abensur Athanazio and Marcelo Luis Pereira de Souza Filho1 conceived the idea. Daniel Abensur Athanazio and Marcelo Luis Pereira de Souza Filho was the major contributor to the writing of the manuscript. Talita Porto da Costa, Maiara Ferreira de Souza, Nathanael Pinheiro de Freitas Junior and Daniel Abensur Athanazio diagnosed the cases. Talita Porto da Costa, Maiara Ferreira de Souza, Nathanael Pinheiro de Freitas Junior were major contributors for critically revising the manuscript for important intellectual content. The authors read and approved the final manuscript.
Conflict of interest: None.
ISSN:2236-1960
2236-1960
DOI:10.4322/acr.2021.409