2008, Number 04
<< Back Next >>
Ginecol Obstet Mex 2008; 76 (04)
Endometrial tissue in myometrium vessels. Two cases report and literature review
Hernández MA, Estrada HR, Estrada MI, Pacheco PR, Márquez IP, Díaz FO
Language: Spanish
References: 9
Page: 228-232
PDF size: 258.75 Kb.
ABSTRACT
Endometrial tissue in the myometrium vessels space, whit no relation to menstrual period, is a rarely reported event. It is unknown if it is part of the natural history of ectopic localization of endometrial tissue or it is related to more or less aggressive behavior of endometriosis. This paper reports two cases: a 35- and 51-year-old women. The first one made suspect a clear cells adenocarcinoma undiagnosed before hysterectomy, because there were no endometrial glands in the myometrium vessels space, but only nest of stromal cells isolated, simulating thrombus of an invasive neoplasm. Since a wrong diagnosis affects the integral treatment of patients, differential diagnosis must be established in order to increase certainty.
REFERENCES
Gazvani R, Templeton A. New considerations for the pathogenesis of endometriosis. Int J Gyn Obstet 2002;76:117-26.
Phillip BC. History of gynecological pathology. Int J Gynecol Pathology 2001;20:86-101.
Devue K, Coenye K, Verhaeghe W. A case of catamenial pneumothorax caused by thoracic endometriosis. Eur J Emerg Med 2005;12:92-94.
Ichida M, Gomi A, et al. A case of cerebral endometriosis causing catamenial epilepsy. Neurology 1993;43:2708-9.
Sampson JA. Metastatic or embolic endometriosis due to the menstrual dissemination of endometrial tissue into the venous circulation. Am J Pathol 1927;3:93-109.
Javert CT. Observations on the pathology and spread of endometriosis based on the theory of benign metastasis. Am J Obstet Gynecol 1951;62:477-87.
Jubanyik KJ, Comte F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am 1997;24:411-40.
Aysegul AS, Silva EG, Landon G, Ordóñez NG, Gershenson DM. Endometrial tissue in myometrial vessels not associated with menstruation. Int J Gynecol Pathol 1989;8(2):139-46.
Dougherty CM, Anderssen MR. Endometriosis and adenomiosis. Am J Obstet Gynecol 1964;89:23-40.