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2014, Volume 30, Number 2, Page(s) 145-148     
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DOI: 10.5146/tjpath.2013.01176
Tumor-Like Cystic Endosalpingiosis in the Myometrium: A Case Report and a Review of the Literature
Seyran YİĞİT1, Yelda DERE1, Hakan YETİMALAR2, Demet ETİT1
1Department of Pathology, Atatürk Training and Research Hospital, İZMİR, TURKEY
2Department of Obstetrics and Gynecology, Atatürk Training and Research Hospital, İZMİR, TURKEY
Keywords: Cystic endosalpingiosis of the uterus, Uterus, Cysts

Endosalpingiosis is a disorder of the Mullerian system characterized by benign glands lined with tubal type epithelium and involves the peritoneum, subperitoneal tissues and retroperitoneal lymph nodes. Myometrial endosalpingiosis is very rare. A 44-year-old female presented to the hospital complaining of menorrhagia. Gynecological and radiologic examination revealed a pelvic mass 7.5 cm in diameter, suggestive of a leiomyoma with secondary cystic changes. The gross examination showed an intramural large cyst within the right fundic wall of the uterus. Microscopically, the cyst consisted of multiple micro-macro cysts lined with benign tubal epithelium. With these findings, the diagnosis was cystic endosalpingiosis. In this report, the clinicopathologic features of a cystic endosalpingiosis case located in the myometrium was presented with a review of the literature.

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