Dwivedi Urvashee, Shukla Saumya, Anand Nidhi, Parashar Chetan, Husain Nuzhat
Department of Pathology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
JNMA J Nepal Med Assoc. 2018 Jan-Feb;56(209):550-552.
Endometriosis occurring in a surgical scar is called incisional endometriosis. An interesting case with immunocytological confirmation is being reported. A 28-year-old female presented with a mass over anterior abdominal wall. Fine needle aspiration revealed monolayered sheets of epithelial cells and stromal fragments. A cell block was also prepared. Immunohistochemistry panel comprising of CK 7 and CD 10 was performed, which were positive in glandular and stromal component respectively. Cytodiagnosis of scar endometriosis was rendered. Scar site endometriosis is rare, occurs in 0.03-1.08% of women following obstetric or gynaecologic surgeries. It is important to include endometriosis in the differential diagnosis of anterior abdominal wall masses, if there is history of previous gynaecological surgery. This will aid in accurate diagnosis and avoid unnecessary surgery.
发生在手术瘢痕处的子宫内膜异位症称为切口子宫内膜异位症。本文报告了一例经免疫细胞化学证实的有趣病例。一名28岁女性，前腹壁出现肿物。细针穿刺显示为单层上皮细胞片和间质碎片。同时制作了细胞块。进行了包括细胞角蛋白7（CK 7）和CD 10的免疫组织化学检测，结果显示腺性成分和间质成分分别呈阳性。作出了瘢痕子宫内膜异位症的细胞诊断。瘢痕部位的子宫内膜异位症很罕见，在产科或妇科手术后的女性中发生率为0.03% - 1.08%。如果有既往妇科手术史，在鉴别诊断前腹壁肿物时将子宫内膜异位症考虑在内很重要。这将有助于准确诊断并避免不必要的手术。
