Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Endometriosis mimicking soft tissue tumors: Diagnosis and treatment
1Second Department of Surgery, Areteion University Hospital, Athens Medical School, Athens, Greece
2Department of Pathology, Areteion University Hospital, Athens Medical School, Athens, Greece
*Corresponding Author(s): V. Smyrniotis E-mail:
The clinical manifestations, the radiologic appearance and the treatment of four women with extragenital endometriosis of the abdominal wall are presented. In two patients endometriosis was found adherent with the structures of the inguinal canal and in the other two the tumors infiltrated structures of the abdominal wall. Symptoms included cyclical pain and palpable subcutaneous masses fixed to the surrounding tissues. Computed tomography and magnetic resonance imaging failed to differentiate the lesions from other soft tissue tumors. Resection to healthy tissue margins is the treatment of choice, in order to avoid local recurrence.
Endometriosis; Extragenital
A. Marinis,J. Vassiliou,D. Kannas,T.K. Theodosopoulos,A. Kondi-Pafiti,E. Kairi,V. Smyrniotis. Endometriosis mimicking soft tissue tumors: Diagnosis and treatment. European Journal of Gynaecological Oncology. 2006. 27(2);168-170.
[1] Douglas C., Rotimi O.: "Extragenital endometriosis - a chmcopathological review of a Glasgow hospital experience with case illustrations". J. Obstet. Gynaecol., 2004, 24, 804.
[2] Markham S.M., Carpenter S.E., Rock J.A.: "Extrapelvic endometriosis". Obstet. Gynecol. Clin. North Am., 1989, 16, 193.
[3] Kapan M., Kapan S., Durgun A.V., Goksoy E.: "Inguinal endometriosis". Arch. Gynecol. Obstet., 2005, 271, 76.
[4] Olejek A., Bichalski W., Rembielak-Stawecka B., Ziolkowski A.: "Adenocarcinoma arising from endometriosis in scar from a caesarean section treated with the use of plastic mesh". Ginekol. Pol., 2004, 75, 797.
[5] Chang H.Y., Changchien C.C., Chen H.H., Lin H., Huang C.C "Extaruterine mullerian adenosarcoma associated with endometriosis and rectal villotubular adenoma: report of a case and review of the literature". Int. J. Gynecol. Cancer, 2005, 15, 361.
[6] Otsuka J., Okuda T., Sekizawa A., Amemiya S., Saito H., Okai T et al.: "K-ras mutation may promote carcinogenesis of endometriosis leading to ovarian clear cell carcinoma". Med. Electron Microsc., 2004, 37, 188.
[7] Vigano P., Somigliana E., Chiodo I., Abbiati A., Vercellini P "Molecular mechanisms and biologic plausibility underlying the malignant transformation of endometriosis: a critical analysis". Hum. Reprod. Update, 2005 (Epub ahead of print).
[8] Perez-Seoane C., Vargas J., de Agustin P.: "Endometriosis in an inguinal crural hernia. Diagnosis by fine needle aspiration biopsy". Acta Cytol., 1991, 35, 350.
[9] Tabbara S.O., Covell J.L., Abbit P.L.: "Diagnosis of endometriosis by fine needle aspiration cytology". Diagn. Cytopathol., 1991, 7, 606.
[10] Sciume C., Geraci G., Pisello F., Li Volsi F., Pacella T., Modica G.: "Intestinal endometriosis: an obscure cause of cyclical rectal bleeding". Ann. Ital. Chir., 2004, 75, 379.
[11] Vander Noot M.R. 3,d. Eloubeidi M.A., Chen V.K. Eltoum I., Jhala D., Jhala N. et al.: "Diagnosis of gastrointestinal tract lesions by endoscopic ultrasound-guided fine-needle aspiration biopsy" Cancer, 2004, 102, 157.
Top