scar endometriosis diagnosed by fine needle aspiration cytology
Madhuri S Kate,Smita S Sonawane
Published in International Journal of Advanced Research in Medical Science
ISSN: xxxx-xxx Impact Factor:xx Volume:1 Issue:1 Year: 29 January,2015 Pages:15-21
Abstract
Endometriosis is characterized as the presence of functional endometrial like glands and stroma outside the uterine endometrial area. We report a case of scar endometriosis following a cesarean section, which was diagnosed on FNAC. A thirty two year old lady presented with lump over the anterior abdomen below the incisional scar since two years. She had complaints of increase of pain and tenderness during menstruation. She also gave history of a cesarean delivery eight years back. Abdominal and pelvic sonogram showed well defined hypo echoic lesion. Though USG findings were not conclusive, based on typical history, clinical and cytological features, a diagnosis of scar endometriosis was made. FNAC can offer an accurate, cost effective, safe and noninvasive preoperative diagnosis of endometriosis thus it obviating the need for diagnostic surgical procedure
Kewords
endometriosis, scar, FNAC
Reference
[1]. Clement PB. Disease of the peritoneum.In: Kurman RJ,ed. Blaustein’s pathology of the female genital tract, New-York:Springer,2002;729-789. [2]. S. Minaglia, D. R. Mishell, and C.A. Ballard, “Incisional endometriomas after cesarean section: a case series,”Journal of Reproductive Medicine for the obstetrician and Gynecologists, vol.52, no.7, pp.630-634, 2007. [3]. Y.Wolf, R. Haddad, N. Werbin, Y. Skornick, and O.Kaplan, “endometriosis in abdominal scars: a diagnostic pitfall,” American Surgeon, vol.62, no 12, pp.1042 -1044, 1996. 4 [4]. R. B. Scott and R. W. Telinde, “Clinical external endometriosis; probable viability of menstrually shed fragments of endometrium,” Obstetrics and gynecology, vol. 4 ,no.5, pp.502-510, 1954. [5]. M.A.P.De Oliveira, A.C.P. De Leon, E. C. Freire, and H. C. De Oliveira, “Risk factors for abdominal scar endometriosis after obstetric hysterectomies: a case- control study,” Acta Obstetricia et Gynecologica Scandinavica, vol 86, no 1, pp. 73-80, 2007 [6].Pathan SK, Kapila, Haji BE, Mallik MK, Al-Ansary TA, George SS, et al. Cytomorphological spectrum of scar endometriosis: A study of eight cases. Cytopathology. 2005; 16: 94-9.[pubMed] [7]. Soslow RA. Diseases of the peritoneum. In :Gynecologic pathology, china: Elsevier, 2009; 612-617. [8].Pathan SK, Kapila K, Haji BE, Mallik MK, Al-Ansary TA, George SS, et al. Cytomorphological spectrum of scar endometriosis: A study of eight cases. Cytopathology. 2005;16:94–9. [PubMed [9]. M. Gunes, E. Kayikcioglu, E. Ozturkoglu, and A. Haberal, “incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures,” Journal of Obstetrics and Gynaecology Research, vol.31, no. 5, pp.471-475, 2005.
