Diagnosis of scar endometriosis on aspiration cytology and cellblock: Myth or reality

2021 ◽  
Author(s):  
Bharti Varshney ◽  
Jyotsna Naresh Bharti ◽  
Boddeda Tulasi Satyendra ◽  
Pratibha Singh



1985 ◽  
Vol 1 (2) ◽  
pp. 153-156 ◽  
Author(s):  
Gladwyn Leiman ◽  
Graeme Naylor


Author(s):  
Sneha P. Chavarkar ◽  
Rajiv Rao ◽  
Akanksha Pandey ◽  
Shirish P. Khatu

Scar endometriosis is a rare entity commonly observed after obstetrical and gynaecological procedures. The diagnosis is often delayed due to the non-specific nature of symptoms. Detailed clinical history of cyclical pain, location in proximity to a surgical scar and a suspicion of this rare entity in women of childbearing age are key to preoperative diagnosis. This is a case of a patient who presented with a troublesome scar after Caesarean section. On Fine needle aspiration cytology (FNAC) a diagnosis of scar endometriosis was provided which was further confirmed on histopathology. Herein we discuss the cytomorphological features of this rare entity and also emphasize the importance of its diagnosis on FNAC which is a rapid and cost-effective method.



2018 ◽  
Vol 56 (209) ◽  
pp. 550-552
Author(s):  
Urvashee Dwivedi ◽  
Saumya Shukla ◽  
Nidhi Anand ◽  
Chetan Parashar ◽  
Nuzhat Husain

Endometriosis occurring in a surgical scar is called incisional endometriosis. It is rare and can be diagnosed on the basis of detailed history, careful clinical examination and characteristic histology. An interesting case with immunocytological (ICC) confirmation is being reported. A 28-year-old female presented with a mass over anterior abdominal wall, of 3 years duration.  She had a past history of LSCS. On examination, the swelling was subcutaneous, measures 3x2cm was firm in consistency and located close to the previous incisional scar. Fine needle aspiration cytology was performed and the smears were moderately cellular and showed monolayered sheets of epithelial cells and stromal fragments. A cell block was also prepared that revealed few glands lined by tall columnar epithelium, surrounded by loose stroma. Immunohistochemistry panel comprising of CK 7 and CD 10 was performed, which were positive in glandular and stromal component respectively.



2010 ◽  
Vol 39 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Francisco das Chagas Medeiros ◽  
Diane Isabelle Magno Cavalcante ◽  
Maria Angelina da Silva Medeiros ◽  
José Eleutério


2011 ◽  
Vol 3 (4) ◽  
pp. 218-221
Author(s):  
Uma Handa ◽  
Irneet Mundi ◽  
Harsh Mohan

Purpose Endometriosis is a fairly common disease found in a variety of extra-uterine locations. Abdominal wall scar endometriosis usually presents as a cutaneous or subcutaneous mass which can be investigated easily by the noninvasive method of fine needle aspiration cytology (FNAC). Methods FNA was performed by a cytopathologist on three patients presenting with varying sized swellings near the cesarean section scar. Results The cytologic smears revealed a combination of epithelial cells, stromal cells, and variable number of hemosiderin-laden macrophages. A diagnosis of endometriosis was provided on FNAC and later confirmed on histopathology. Conclusions FNAC is a valuable, cost-effective. and safe tool for diagnosing scar endometriosis and thus permits correct management of the patient.





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