2020, Number 05
<< Back Next >>
Ginecol Obstet Mex 2020; 88 (05)
Polypoid endometriosis: A variant of endometriosis
González-Hernández AR, Treviño-Salinas EM, Soria-López JA, Treviño-Montemayor ÓR
Language: Spanish
References: 14
Page: 342-345
PDF size: 324.39 Kb.
ABSTRACT
Background: Polypoid endometriosis was first introduced in 1980. It was used to
describe an uncommon variant of endometriosis with histological features simulating
an endometrial polyp and may be at risk of malignant transformation.
Clinical case: A 46-year-old female presented with lower abdominal pain and Abnormal
uterine bleeding. Image studies revealed an irregular shaped, heterogeneous
mass adjacent to the ovary. Blood tests showed an elevated CA-125 value (75.2 U/
ml). Resection of the mass was performed by laparotomy and the definitive study of
histopathology revealed polypoid endometriosis. Currently the patient continues in
surveillance without disease recurrence.
Conclusions: Polypoid endometriosis is an uncommon variant of endometriosis,
with the possibility of malignant evolution. This rare form of disease should be known,
in order to provide adequate treatment for the patient.
REFERENCES
Falcone T, et al. Clinical management of endometriosis. Obstet Gynecol. 2011; 118 (3): 691-705. doi:10.1097/ AOG.0b013e31822adfd1
Clement PB. The pathology of endometriosis: A survey of the many faces of a common disease emphasizing diagnostic pitfalls and unusual and newly appreciated aspects. Adv Anat Pathol. 2007; 14 (4): 241-60. doi:10.1097/ PAP.0b013e3180ca7d7b
Vilches-Jimenez JC, et al. Diagnostic challenges: Low-grade adenosarcoma on deep endometriosis. BMC Womens Health. 2019; 19 (1): 1-4. doi:10.1186/s12905-019-0815-1
Murugasu A, et al. Extragenital mullerian adenosarcoma with sarcomatous overgrowth arising in an endometriotic cyst in the pouch of Douglas. Int J Gynecol Cancer. 2003; 13 (3): 371-75. doi:10.1046/j.1525-1438.2003.13187.x
Parker RL, et al. Polypoid Endometriosis: A Clinicopathologic Analysis of 24 Cases and a Review of the Literature. Am J Surg Pathol. 2004; 28 (3): 285-97. doi:10.1097/00000478- 200403000-00001
Ghafoor S, et al. Polypoid endometriosis: a mimic of malignancy. Abdom Radiol. 2019; (0123456789). doi:10.1007/ s00261-019-02143-8
Póvoa TF, et al. The pathology of severe dengue in multiple organs of human fatal cases: Histopathology, ultrastructure and virus replication. PLoS One. 2014; 9 (4). doi:10.1371/ journal.pone.0083386
Chang A, et al. Polypoid endometriosis. Arch Pathol Lab Med. 2001; 125 (9): 1257. doi:10.1097/00000478- 200403000-00001
Chang CK, et al. Florid polypoid endometriosis exacerbated by tamoxifen therapy in breast cancer. Obstet Gynecol. 2003; 102 (5 SUPPL.): 1127-1130. doi:10.1016/S0029- 7844(03)00628-8
Jaegle WT, et L. Polypoid endometriosis mimicking invasive cancer in an obese, postmenopausal tamoxifen user. Gynecol Oncol Reports. 2017; 22:105-107. doi:10.1016/j. gore.2017.10.004
Ozaki K, et al. Polypoid endometriosis: An uncommon and distinctive variant of endometriosis. Eur J Radiol Extra. 2008; 65 (3): 97-100. doi:10.1016/j.ejrex.2008.01.004
Yamamoto A, et al. Huge polypoid endometriosis: report of a case and review of the literature. Int Cancer Conf J. 2016; 5 (1): 31-35. doi:10.1007/s13691-015-0220-z
Kaushal S, et al. Multifocal polypoid endometriosis in a young woman simulating vaginal and pelvic neoplasm. J Clin Pathol. 2010; 63 (5): 452-54. doi:10.1136/ jcp.2009.073312
Nagaraj SG, et al. Florid adnexal polypoid endometriosis associated with very high serum CA-125 levels mimicking ovarian malignancy. Iran J Pathol. 2013; 9 (1): 71-76.