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Endometriosis with myxoid change. A case simulating pseudomyxoma peritonei
P B Clement1, C O Granai, R H Young
1Department of Pathology, Vancouver General Hospital, Canada.
The American Journal of Surgical Pathology
|August 1, 1994
Summary
Endometriosis with myxoid change can mimic mucinous adenocarcinoma. Careful pathological examination is crucial to distinguish this rare condition from malignancy, ensuring appropriate patient management.
Area of Science:
- Gynecologic Pathology
- Surgical Oncology
Background:
- Endocervical adenocarcinoma diagnosis prompted radical hysterectomy.
- Intraoperative frozen section suggested pseudomyxoma peritonei, altering surgical plans.
Observation:
- Biopsies revealed endometriosis with significant myxoid change, not adenocarcinoma.
- Endometriotic foci were found in the fallopian tube serosa and near a lymph node.
Findings:
- Permanent sections confirmed endometriosis with myxoid change, ruling out malignancy in initial biopsies.
- Subsequent hysterectomy showed superficial cervical adenocarcinoma without extrauterine spread.
Implications:
- Rare presentations of endometriosis can mimic mucinous adenocarcinoma, necessitating meticulous histopathological review.
- Accurate diagnosis is vital to prevent overtreatment of benign conditions.