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1
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Alboni C, Spanò Bascio L, Camacho Mattos L, Gallo G, Botticelli L, Cabry F, Facchinetti F, Gelmini R. Ileocecal deep infiltrating endometriosis with intestinal mucinous metaplasia and high-grade dysplasia. J OBSTET GYNAECOL 2022; 42:1593-1596. [PMID: 34989295 DOI: 10.1080/01443615.2021.2006158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Carlo Alboni
- Minimally Invasive and Robotic Gynecologic Surgery Unit, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
| | - Ludovica Spanò Bascio
- Minimally Invasive and Robotic Gynecologic Surgery Unit, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
| | - Ludovica Camacho Mattos
- Minimally Invasive and Robotic Gynecologic Surgery Unit, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
| | - Graziana Gallo
- Department of Pathology, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
| | - Laura Botticelli
- Department of Pathology, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
| | - Francesca Cabry
- Oncologic Surgery Unit, Department of Surgical, Medical and Dental, Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - Fabio Facchinetti
- Minimally Invasive and Robotic Gynecologic Surgery Unit, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy.,Obstetrics and Gynecology Unit, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
| | - Roberta Gelmini
- Department of Pathology, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
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2
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Fu X, Jiang J, Li B, Tian XY, Li Z. Cecal Endometriosis With Intestinal Metaplasia Misdiagnosed as Neoplasm of the Cecum by Intraoperative Histological Examination. Int J Surg Pathol 2017; 26:24-30. [PMID: 29070005 DOI: 10.1177/1066896917727595] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Appendiceal or cecal endometriosis with intestinal metaplasia is uncommon and may mimic mucinous tumors of the appendix. A 50-year-old woman was found incidentally to have an ileocecal lesion. In the intraoperative histological examination, a diagnosis of neoplasm of the cecum was made predominantly based on mucin extrusion with scattered lining mucinous epithelium. However, postoperative histological diagnosis of the lesion was cecal endometriosis with intestinal metaplasia as determined by thoroughly microscopic inspection and the presence of typical endometrial glands with surrounding endometrial-type stroma. There was no evidence of recurrence and pseudomyxoma peritonei after 1 year of follow-up. Overinterpretation of cytological atypia or mucin extrusion in endometriosis may lead to inappropriate surgical management. Therefore, in any ileocecal or appendiceal lesions with mucinous epithelia and mucin extrusions, removal of sufficient tissue from different portions of the lesion is essential for surgeons and pathologists to make a precise diagnosis in the intraoperative histological examination.
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Affiliation(s)
- Xinge Fu
- 1 The First Affiliated Hospital, Guangzhou Medical University, Guangzhou, China
| | - Juhong Jiang
- 1 The First Affiliated Hospital, Guangzhou Medical University, Guangzhou, China
| | - Bin Li
- 2 The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Xiao-Ying Tian
- 3 Hong Kong Baptist University, Kowloon Tong, Hong Kong, China
| | - Zhi Li
- 2 The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
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