Medeiros Francisco das Chagas, Cavalcante Diane Isabelle Magno, Medeiros Maria Angelina da Silva, Eleutério José
Faculty of Medicine, Maternal and Child Department, Federal University of Ceará (UFC), Brazil.
Diagn Cytopathol. 2011 Jan;39(1):18-21. doi: 10.1002/dc.21319.
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.
子宫内膜异位症的定义为子宫内膜衬里以外存在类似子宫内膜的腺体和间质。在包括剖宫产和腹腔镜套管针穿刺通道在内的众多手术或操作疤痕中也发现了子宫内膜组织。2004年1月至2008年12月，巴西塞阿拉联邦大学医学院的阿西斯·夏多布里昂妇产学校对7例腹壁肿块经病理证实为疤痕子宫内膜异位症的患者进行了一项前瞻性研究。所有病例均接受了细针穿刺细胞学检查（FNAC）。年龄范围为21至42岁（平均：30岁），产次范围为0至3（平均：1.4）。先前的盆腔手术史包括子宫肌瘤切除术（7例中的1例）、剖宫产（7例中的3例）和诊断性腹腔镜检查（7例中的3例）。这些症状在手术过程后约18个月出现。FNAC检查结果为类似子宫内膜的上皮细胞（7例中的6例）和间质细胞（7例中的6例）；7例中有2例出现蜕膜化。所有病例均存在含铁血黄素巨噬细胞。FNAC是一种在手术前进行诊断的快速且准确的方法，可避免在处理腹壁子宫内膜异位症疤痕时出现错误。
