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Updated: Jun 12, 2026

Sentinel Lymph Node Mapping and Biopsy for Endometrial Cancer at Early Stage with Laparoscopy
Published on: August 19, 2021
Deeply infiltrating rectal endometriosis with lymph node involvement
S Rafailidis1, N Symeonidis, K Ballas
12nd Propedeutical Department of Surgery, Hippokration General Hospital, Medical School, Aristotles University of Thessaloniki, Greece. svrafail@otenet.gr
Background:
Sigmoidorectal endometriosis accounts for 70% of the cases of intestinal endometriosis. Symptoms are non-specific, frequently resembling adenocarcinomas.
Case:
A 45-year-old woman complaining of recurrent rectal bleeding underwent colonoscopy in which a rectal polypoid mass was found. She underwent anterior rectosigmoidectomy and the histological examination of the resected bowel revealed rectal endometriosis with lymph node involvement.
Conclusion:
Lymphatic infiltration of epicolic lymph nodes raises questions about the benign nature of this presumed innocent disease.
