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Related Experiment Video

Updated: Apr 21, 2026

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
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Perineal endometriosis: a case report.

Sui-Qing Cai1, Min Zheng1, Xiao-Yong Man1

  • 1Department of Dermatology, Second Affiliated Hospital, Zhejiang University School of Medicine Hangzhou 310009, China.

International Journal of Clinical and Experimental Medicine
|October 31, 2014
PubMed
Summary

A rare case of endometriosis presented as a painful perineal lesion in a young woman. Surgical excision successfully removed the endometriotic mass, resolving the patient

Keywords:
Perineumendometriosispathology

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Area of Science:

  • Gynecology
  • Surgical Pathology

Background:

  • Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus.
  • Perineal endometriosis is an uncommon manifestation, often presenting as a palpable mass.

Observation:

  • A 28-year-old woman with no prior health issues reported a year-long history of a painful lesion in her left perineum.
  • Physical examination revealed a palpable mass in the affected area.

Findings:

  • Histopathological examination confirmed multiple foci of endometriosis.
  • The foci consisted of endometrial glands and stroma within dense fibro-elastic tissue.

Implications:

  • This case highlights the importance of considering endometriosis in the differential diagnosis of perineal masses.
  • Surgical excision under local anesthesia is an effective treatment for symptomatic perineal endometriosis.