Fine‐needle aspiration cytology of scar endometriosis: Study of seven cases and literature review
Abstract
Endometriosis is defined as the presence of endometrial‐like glands and stroma outside the uterine endometrial lining. Endometrial tissue has also been identified in numerous surgical or procedure scars, including cesarean section and laparoscopic trocar tract. A prospective study was conducted at Maternidade‐Escola Assis Chateaubriand, Faculty of Medicine, Federal University of Ceara, Brazil in seven patients with abdominal wall mass pathologically proven as scar endometriosis from January 2004 to December 2008. All cases were submitted to fine‐needle aspiration cytology (FNAC). Age ranged from 21 to 42 years old (mean: 30) with parity ranging from 0 to 3 (mean: 1.4). The preceding history of pelvic procedures was miomectomy (1 of 7), cesarean section (3 of 7), and diagnostic laparoscopy (3 of 7). The complaints occurred about 18 months after the surgical proceeding. The FNAC findings were endometrial‐like epithelial cells (6 of 7) and stromal cells (6 of 7); decidualization occurred in 2 of 7 cases. Hemosiderin‐laden macrophages were present in all cases. FNAC is a fast and accurate method to make the diagnosis before the surgery, avoiding errors in the approach of the abdominal wall endometriosis' scars. Diagn. Cytopathol. 2011;39:18–21. © 2010 Wiley‐Liss, Inc.
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Needle-biopsy is essential to establish the diagnosis of AWE.
“whereas needle-biopsy is essential to establish the diagnosis of AWE [12–14].”
From Trocar scar abdominal wall adenomyoma following laparoscopic hysterectomy: case report (2024) · cites this paper as [14]
Ultrasonography and MRI help to understand the intrinsic characteristics of the mass and its relationships with abdominal wall anatomy.
“Ultrasonography and MRI help to understand the intrinsic characteristics of the mass as well as its relationships with abdominal wall anatomy”
From Trocar scar abdominal wall adenomyoma following laparoscopic hysterectomy: case report (2024) · cites this paper as [14]
Cites
Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases
Horton, J. D., DeZee, K. J., Ahnfeldt, E. P., & Wagner, M. (2008) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2007.07.035 · Cited by 391 · see citing works
Presentation of endometriosis to general surgeons: A 10-year experience
Singh, K. K., Lessells, A. M., Adam, D. J., Jordan, C., Miles, W. F. A., MacIntyre, I. M. C., & Greig, J. D. (1995) · Journal of British Surgery · doi:10.1002/bjs.1800821017 · Cited by 172 · see citing works
Aydin, Ö. (2007) · Langenbeck s Archives of Surgery · doi:10.1007/s00423-006-0107-8 · Cited by 35 · see citing works
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A retrospective review of abdominal wall endometriosis in Shanghai, China.
Ding, Y., & Zhu, J. (2013) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2012.11.011 · Cited by 80 · see citing works
Vellido-Cotelo, R., Muñoz-González, J. L., Oliver-Pérez, M. R., de la Hera-Lázaro, C., Almansa-González, C., Pérez-Sagaseta, C., & Jiménez-López, J. S. (2015) · BMC Women's Health · doi:10.1186/s12905-015-0170-9 · Cited by 77 · see citing works
The clinical characteristics and surgical approach of scar endometriosis: a case series of 14 women.
Tatli, F., Gozeneli, O., Uyanikoglu, H., Uzunkoy, A., Yalcın, H. C., Ozgonul, A., Bardakci, O., Incebiyik, A., & Guldur, M. E. (2018) · Bosnian Journal of Basic Medical Sciences · doi:10.17305/bjbms.2018.2659 · Cited by 57 · see citing works
Laparoscopic trocar port site endometriosis: a case report and brief literature review.
Emre, A., Akbulut, S., Yilmaz, M., & Bozdag, Z. (2012) · International Surgery · doi:10.9738/cc124.1 · Cited by 49 · see citing works
Post-Cesarean scar endometriosis
Yıldırım, D., Tatar, C., Doğan, O., Hut, A., Dönmez, T., Akıncı, M., Toptaş, M., & Bayık, R. N. (2018) · Journal of Turkish Society of Obstetric and Gynecology · doi:10.4274/tjod.90922 · Cited by 39 · see citing works
Cutaneous Endometriosis: A Case Report and Review of the Literature
Gonzalez, R. H., Singh, M. S., & Hamza, S. A. (2021) · American Journal of Case Reports · doi:10.12659/ajcr.932493 · Cited by 20 · see citing works
Mixed endometrioid and clear cell carcinoma arising from laparoscopic trocar site endometriosis
Tsuruga, T., Hirata, T., Akiyama, I., Matsumoto, Y., Oda, K., Fujii, T., & Osuga, Y. (2019) · Journal of Obstetrics and Gynaecology Research · doi:10.1111/jog.14014 · Cited by 13 · see citing works
Fine-needle aspiration cytology of endometriosis
Song, S. J., McGrath, C. M., & Yu, G. H. (2017) · Diagnostic Cytopathology · doi:10.1002/dc.23670 · Cited by 12 · see citing works
Katwal, S., Katuwal, S., & Bhandari, S. (2023) · SAGE Open Medical Case Reports · doi:10.1177/2050313x231197009 · Cited by 5 · see citing works
Trocar scar abdominal wall adenomyoma following laparoscopic hysterectomy: case report
Prospero, R., Carafa, A., Sagrada, P. F., Ahmed, N., Scagnelli, P., Ballabio, M. M., Garuti, G., & Soligo, M. (2024) · Journal of Surgical Case Reports · doi:10.1093/jscr/rjae650
“Ultrasonography and MRI help to understand the intrinsic characteristics of the mass as well as its relationships with abdominal wall anatomy, whereas needle-biopsy is essential to establish the diagnosis of AWE [12–14].”
- Authors
- Medeiros, F. D. C., Cavalcante, D. I. M., Medeiros, M. A. D. S., & Eleutério, J.
- Affiliations
- Universidade Federal do Ceará (BR)
- Universidade de Fortaleza (BR)
- Corresponding author
- Eleutério, José
- Venue
- Diagnostic Cytopathology
- Publisher
- Wiley
- Published
- 2010-12-15
- Volume
- 39
- Issue
- 1
- Pages
- 18-21
- ISSN
- 1097-0339 (ISSN-L)
- 8755-1039
- OpenAlex
- W2008964324
- Cited by
- 68
- References
- 3
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 9 · 2016: 3 · 2015: 5 · 2014: 3 · 2013: 6 · 2012: 5
- FWCI
- 5.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diagnostic Cytopathology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- scar endometriosis, abdominal wall endometriosis, fine needle aspiration cytology, cesarean section scar, hemosiderin-laden macrophages, decidualization, preoperative diagnosis
- MeSH terms
- Adult, Cicatrix, Endometriosis, Female, Humans, Prospective Studies, Abdominal Wall, Biopsy, Fine-Needle, Young Adult
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