Florid cystic endosalpingiosis with tumor-like manifestations - A report of four cases including the first reported cases of transmural endosalpingiosis of the uterus

被引:70
作者
Clement, PB
Young, RH
机构
[1] Vancouver Hosp & Hlth Sci Ctr, Dept Pathol, Vancouver, BC V5Z 1M9, Canada
[2] Univ British Columbia, Dept Pathol, Vancouver, BC, Canada
[3] Massachusetts Gen Hosp, James Homer Wright Pathol Labs, Boston, MA 02114 USA
[4] Harvard Univ, Sch Med, Dept Pathol, Cambridge, MA 02138 USA
关键词
endosalpingiosis; cysts; peritoneum; uterus;
D O I
10.1097/00000478-199902000-00005
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Four cases of endosalpingiosis presenting as masses that resembled neoplasms are described in women 20, 41, 43, and 74 years of age. Each case was referred in consultation because of difficulties in pathologic diagnosis. In two patients, multiple cysts that involved the serosal surfaces of the uterus and adnexa in one case, and the colon, rectosigmoid, pelvic sidewalls, and the cul-de-sac in the other, were excised. In the other two cases, hysterectomy was performed for an enlarged cystic cervix in one case and presumed uterine leiomyomas in the other. In both of these cases, the uterine cervix and lower part of the uterine corpus were extensively involved by multiple cysts on gross examination. and in one of them, a frozen section of the cervical lesion was initially interpreted as "suspicious for invasive minimal deviation adenocarcinoma." On microscopic examination, benign endosalpingiotic glands and cysts were found in all four cases, with striking transmural involvement of the uterine cervix and lower uterine segment and contiguous corpus in the two cases with uterine involvement. The latter two cases are the first examples, to our knowledge, of endosalpingiosis involving the wall of the uterus; the differential diagnosis in these cases includes minimal deviation adenocarcinoma and florid tubal metaplasia with cystification. The four cases in this report, and rare previously reported cases, indicate that although usually a microscopic finding, endosalpingiosis can rarely present as a clinically or grossly evident mass that can be confused with a neoplasm.
引用
收藏
页码:166 / 175
页数:10
相关论文
共 51 条
[1]  
BELL DA, 1989, PATHOL ANNU, V24, P1
[2]   SEROUS BORDERLINE TUMORS OF THE PERITONEUM [J].
BELL, DA ;
SCULLY, RE .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1990, 14 (03) :230-239
[3]   PERITONEAL SEROUS MICROPAPILLOMATOSIS OF LOW MALIGNANT POTENTIAL (SEROUS BORDERLINE TUMORS OF THE PERITONEUM) - A CLINICOPATHOLOGICAL STUDY OF 17 CASES [J].
BISCOTTI, CV ;
HART, WR .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1992, 16 (05) :467-475
[4]   ENDOSALPINGIOSIS IN PREGNANCY - CASE-REPORT [J].
BRYCE, RL ;
BARBATIS, C ;
CHARNOCK, M .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1982, 89 (02) :166-168
[5]  
BURMEISTER RE, 1969, OBSTET GYNECOL, V34, P310
[6]   ENDOSALPINGIOSIS OF THE VERMIFORM APPENDIX [J].
CAJIGAS, A ;
AXIOTIS, CA .
INTERNATIONAL JOURNAL OF GYNECOLOGICAL PATHOLOGY, 1990, 9 (03) :291-295
[7]  
CHEN KTK, 1981, DIAGN GYNECOL OBSTET, V3, P265
[8]   ENDOCERVICOSIS OF THE URINARY-BLADDER - A REPORT OF 6 CASES OF A BENIGN MULLERIAN LESION THAT MAY MIMIC ADENOCARCINOMA [J].
CLEMENT, PB ;
YOUNG, RH .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1992, 16 (06) :533-542
[9]   DEEP NABOTHIAN CYSTS OF THE UTERINE CERVIX - A POSSIBLE SOURCE OF CONFUSION WITH MINIMAL-DEVIATION ADENOCARCINOMA (ADENOMA MALIGNUM) [J].
CLEMENT, PB ;
YOUNG, RH .
INTERNATIONAL JOURNAL OF GYNECOLOGICAL PATHOLOGY, 1989, 8 (04) :340-348
[10]  
CLEMENT PB, 1994, BLAUSTEINS PATHOLOGY, P647