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Spinal intradural müllerianosis: a case report.
V Barresi1, S Cerasoli, E Vitarelli
1Department of Human Pathology, University of Messina, Italy. valeriabarresi@hotmail.com
Histology and Histopathology
|July 13, 2006
Summary
Müllerianosis, a rare condition involving müllerian-derived glands in ectopic locations, presented as spinal cord compression in a 42-year-old woman. Early identification is crucial as hormonal therapy can benefit patients.
Area of Science:
- Gynecologic Pathology
- Neuropathology
- Surgical Pathology
Background:
- Müllerianosis is defined as ectopic lesions comprising two or three types of müllerian-derived glands.
- Spinal cord involvement by müllerianosis is exceptionally rare.
Observation:
- A 42-year-old woman presented with a three-year history of catamenial lumbago and sciatica.
- Laminectomy of L2-L3 revealed a polypoid mass compressing nerve trunks.
Findings:
- Histological examination of the excised mass showed a mixture of endocervical, endometrial, and tubal glands within a smooth muscle nodule.
- These findings confirmed the diagnosis of spinal cord müllerianosis.
Implications:
- This case highlights an unusual presentation of müllerianosis.
- Accurate diagnosis is essential for appropriate patient management, including potential hormonal therapy.