Difference between revisions of "Endosalpingiosis"
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| Micro = cystic lesion with ciliated epithelium surrounded by fibrous stroma, [[psammoma bodies]] | | Micro = cystic lesion with ciliated epithelium surrounded by fibrous stroma, [[psammoma bodies]] | ||
| Subtypes = | | Subtypes = | ||
| LMDDx = [[endometriosis]], [[serous carcinoma]], | | LMDDx = [[endometriosis]], [[serous carcinoma]], [[adenocarcinoma]], [[peritoneal inclusion cyst]] | ||
| Stains = | | Stains = | ||
| IHC = | | IHC = | ||
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==General== | ==General== | ||
*Benign entity that may lead to a misdiagnosis of adenocarcinoma<ref name=pmid19415948>{{cite journal |author=Lin O |title=Challenges in the interpretation of peritoneal cytologic specimens |journal=Arch. Pathol. Lab. Med. |volume=133 |issue=5 |pages=739–42 |year=2009 |month=May |pmid=19415948 |doi= |url=}}</ref> or serous carcinoma. | *Benign entity that may lead to a misdiagnosis of [[adenocarcinoma]]<ref name=pmid19415948>{{cite journal |author=Lin O |title=Challenges in the interpretation of peritoneal cytologic specimens |journal=Arch. Pathol. Lab. Med. |volume=133 |issue=5 |pages=739–42 |year=2009 |month=May |pmid=19415948 |doi= |url=}}</ref> or [[serous carcinoma]]. | ||
*The clinical significance of endosalpingiosis is not definitively settled; opinions differ on whether it is: | *The clinical significance of endosalpingiosis is not definitively settled; opinions differ on whether it is: | ||
*# associated with pelvic pain,<ref name=pmid9350013>{{Cite journal | last1 = deHoop | first1 = TA. | last2 = Mira | first2 = J. | last3 = Thomas | first3 = MA. | title = Endosalpingiosis and chronic pelvic pain. | journal = J Reprod Med | volume = 42 | issue = 10 | pages = 613-6 | month = Oct | year = 1997 | doi = | PMID = 9350013 }}</ref> ''or'' | *# associated with pelvic pain,<ref name=pmid9350013>{{Cite journal | last1 = deHoop | first1 = TA. | last2 = Mira | first2 = J. | last3 = Thomas | first3 = MA. | title = Endosalpingiosis and chronic pelvic pain. | journal = J Reprod Med | volume = 42 | issue = 10 | pages = 613-6 | month = Oct | year = 1997 | doi = | PMID = 9350013 }}</ref> ''or'' | ||
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***Endosalpingiosis is surrounded by fibrous stroma; tubal type epithelial surrounded by ovarian stroma is a variant of [[endometriosis]]. | ***Endosalpingiosis is surrounded by fibrous stroma; tubal type epithelial surrounded by ovarian stroma is a variant of [[endometriosis]]. | ||
*Associated with [[psammoma bodies]].<ref name=pmid1774734>{{cite journal |author=Hallman KB, Nahhas WA, Connelly PJ |title=Endosalpingiosis as a source of psammoma bodies in a Papanicolaou smear. A case report |journal=J Reprod Med |volume=36 |issue=9 |pages=675–8 |year=1991 |month=September |pmid=1774734 |doi= |url=}}</ref> | *Associated with [[psammoma bodies]].<ref name=pmid1774734>{{cite journal |author=Hallman KB, Nahhas WA, Connelly PJ |title=Endosalpingiosis as a source of psammoma bodies in a Papanicolaou smear. A case report |journal=J Reprod Med |volume=36 |issue=9 |pages=675–8 |year=1991 |month=September |pmid=1774734 |doi= |url=}}</ref> | ||
Notes: | Notes: | ||
#Not associated with hemorrhage.<ref>URL: [http://radiographics.rsna.org/content/29/2/347.full http://radiographics.rsna.org/content/29/2/347.full]. Accessed on: 27 May 2010.</ref> | #Not associated with hemorrhage.<ref>URL: [http://radiographics.rsna.org/content/29/2/347.full http://radiographics.rsna.org/content/29/2/347.full]. Accessed on: 27 May 2010.</ref> | ||
#In a lymph node, endosalpingiosis may be misinterpreted as a [[lymph node metastasis|metastasis]]!<ref name=pmid20631604>{{Cite journal | last1 = Corben | first1 = AD. | last2 = Nehhozina | first2 = T. | last3 = Garg | first3 = K. | last4 = Vallejo | first4 = CE. | last5 = Brogi | first5 = E. | title = Endosalpingiosis in axillary lymph nodes: a possible pitfall in the staging of patients with breast carcinoma. | journal = Am J Surg Pathol | volume = 34 | issue = 8 | pages = 1211-6 | month = Aug | year = 2010 | doi = 10.1097/PAS.0b013e3181e5e03e | PMID = 20631604 }}</ref> | #In a lymph node, endosalpingiosis may be misinterpreted as a [[lymph node metastasis|metastasis]]!<ref name=pmid20631604>{{Cite journal | last1 = Corben | first1 = AD. | last2 = Nehhozina | first2 = T. | last3 = Garg | first3 = K. | last4 = Vallejo | first4 = CE. | last5 = Brogi | first5 = E. | title = Endosalpingiosis in axillary lymph nodes: a possible pitfall in the staging of patients with breast carcinoma. | journal = Am J Surg Pathol | volume = 34 | issue = 8 | pages = 1211-6 | month = Aug | year = 2010 | doi = 10.1097/PAS.0b013e3181e5e03e | PMID = 20631604 }}</ref> | ||
DDx:<ref name=pmid20931212>{{Cite journal | last1 = Rosenberg | first1 = P. | last2 = Nappi | first2 = L. | last3 = Santoro | first3 = A. | last4 = Bufo | first4 = P. | last5 = Greco | first5 = P. | title = Pelvic mass-like florid cystic endosalpingiosis of the uterus: a case report and a review of literature. | journal = Arch Gynecol Obstet | volume = 283 | issue = 3 | pages = 519-23 | month = Mar | year = 2011 | doi = 10.1007/s00404-010-1700-1 | PMID = 20931212 }}</ref> | |||
*Serous carcinoma. | |||
*[[Peritoneal inclusion cyst]]. | |||
*[[Adenocarcinoma]]. | |||
*Papillary carcinoma. | |||
===Images=== | ===Images=== |
Revision as of 09:10, 20 July 2013
Endosalpingiosis | |
---|---|
Diagnosis in short | |
Endosalpingiosis. H&E stain. | |
| |
LM | cystic lesion with ciliated epithelium surrounded by fibrous stroma, psammoma bodies |
LM DDx | endometriosis, serous carcinoma, adenocarcinoma, peritoneal inclusion cyst |
Clinical history | may be associated with endometriosis; incidental finding |
Prognosis | benign |
Endosalpingiosis is a benign entity that can be confused for cancer.
General
- Benign entity that may lead to a misdiagnosis of adenocarcinoma[1] or serous carcinoma.
- The clinical significance of endosalpingiosis is not definitively settled; opinions differ on whether it is:
Microscopic
Features:[4]
- Cystic lesions with:
- Ciliated (tubal type) epithelium, without endometrial stroma.
- Endosalpingiosis is surrounded by fibrous stroma; tubal type epithelial surrounded by ovarian stroma is a variant of endometriosis.
- Ciliated (tubal type) epithelium, without endometrial stroma.
- Associated with psammoma bodies.[5]
Notes:
- Not associated with hemorrhage.[6]
- In a lymph node, endosalpingiosis may be misinterpreted as a metastasis![7]
DDx:[8]
- Serous carcinoma.
- Peritoneal inclusion cyst.
- Adenocarcinoma.
- Papillary carcinoma.
Images
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OVARIAN FOSSA, RIGHT, BIOPSY: - ENDOMETRIOSIS. - ENDOSALPINGIOSIS. - FIBROADIPOSE TISSUE PARTIALLY COVERED BY MESOTHELIUM.
See also
References
- ↑ Lin O (May 2009). "Challenges in the interpretation of peritoneal cytologic specimens". Arch. Pathol. Lab. Med. 133 (5): 739–42. PMID 19415948.
- ↑ deHoop, TA.; Mira, J.; Thomas, MA. (Oct 1997). "Endosalpingiosis and chronic pelvic pain.". J Reprod Med 42 (10): 613-6. PMID 9350013.
- ↑ Heinig, J.; Gottschalk, I.; Cirkel, U.; Diallo, R. (Jun 2002). "Endosalpingiosis-an underestimated cause of chronic pelvic pain or an accidental finding? A retrospective study of 16 cases.". Eur J Obstet Gynecol Reprod Biol 103 (1): 75-8. PMID 12039470.
- ↑ URL: http://radiographics.rsna.org/content/29/2/347.full. Accessed on: 27 May 2010.
- ↑ Hallman KB, Nahhas WA, Connelly PJ (September 1991). "Endosalpingiosis as a source of psammoma bodies in a Papanicolaou smear. A case report". J Reprod Med 36 (9): 675–8. PMID 1774734.
- ↑ URL: http://radiographics.rsna.org/content/29/2/347.full. Accessed on: 27 May 2010.
- ↑ Corben, AD.; Nehhozina, T.; Garg, K.; Vallejo, CE.; Brogi, E. (Aug 2010). "Endosalpingiosis in axillary lymph nodes: a possible pitfall in the staging of patients with breast carcinoma.". Am J Surg Pathol 34 (8): 1211-6. doi:10.1097/PAS.0b013e3181e5e03e. PMID 20631604.
- ↑ Rosenberg, P.; Nappi, L.; Santoro, A.; Bufo, P.; Greco, P. (Mar 2011). "Pelvic mass-like florid cystic endosalpingiosis of the uterus: a case report and a review of literature.". Arch Gynecol Obstet 283 (3): 519-23. doi:10.1007/s00404-010-1700-1. PMID 20931212.