서로 다른 해부학적 공간에 발생한 다발성 개화성 낭성 내난관종: 증례 보고 <span class="so-article-trans-title" dir="auto"> Translated title: Multicentric Florid Cystic Endosalpingiosis in Different Anatomical Spaces: A Case Report </span>

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Abstract

내난관종은 이소성 난관 상피의 비종양적 증식으로 발생한다. 비전형적인 형태로 종괴 형태를 보여 종양성 병변과 감별을 필요로 하는 개화성 낭성 내난관종이 매우 드물게 보고되어 있다. 저자들은 복막 외 골반강과 후복막강에서 다발성으로 발생한 개화성 낭성 내난관종 증례의 영상의학적 소견을 보고하고자 한다.

Translated abstract

Endosalpingiosis is a condition that causes the non-neoplastic proliferation of ectopic tubal epithelium. Florid cystic endosalpingiosis is an atypical subtype that is very rarely reported. It presents as a mass-like feature and therefore needs to be differentiated from tumorous conditions. Here, we report the imaging findings of a case of multicentric florid cystic endosalpingiosis in the extraperitoneal pelvic cavity and the retroperitoneal spaces.

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Uncommon primary pelvic retroperitoneal masses in adults: a pattern-based imaging approach.

Alampady Shanbhogue, Najla Fasih, David MacDonald … (2016)

There is a broad spectrum of primary pelvic retroperitoneal masses in adults that demonstrate characteristic epidemiologic and histopathologic features and natural histories. These masses may be classified into five distinct subgroups using a pattern-based approach that takes anatomic distribution and certain imaging characteristics into account, allowing greater accuracy in their detection and characterization and helping to optimize patient management. The five groups are cystic (serous and mucinous epithelial neoplasms, pelvic lymphangioma, tailgut cyst, ancient schwannoma), vascular or hypervascular (solitary fibrous tumor, paraganglioma, pelvic arteriovenous malformation, Klippel-Trénaunay-Weber syndrome, extraintestinal GIST [gastrointestinal stromal tumor]), fat-containing (lipoma, liposarcoma, myelolipoma, presacral teratoma), calcified (calcified lymphocele, calcified rejected transplant kidney, rare sarcomas), and myxoid (schwannoma, plexiform neurofibroma, myxoma).Cross-sectional imaging modalities help differentiate the more common gynecologic neoplasms from more unusual masses. In particular, the tissue-specific multiplanar capability of high-resolution magnetic resonance imaging permits better tumor localization and internal characterization, thereby serving as a road map for surgery. RSNA, 2012

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Florid cystic endosalpingiosis with tumor-like manifestations: a report of four cases including the first reported cases of transmural endosalpingiosis of the uterus.

P Clement, Paul R Young (1999)

Four cases of endosalpingiosis presenting as masses that resembled neoplasms are described in women 20, 41, 43, and 74 years of age. Each case was referred in consultation because of difficulties in pathologic diagnosis. In two patients, multiple cysts that involved the serosal surfaces of the uterus and adnexa in one case, and the colon, rectosigmoid, pelvic sidewalls, and the cul-de-sac in the other, were excised. In the other two cases, hysterectomy was performed for an enlarged cystic cervix in one case and presumed uterine leiomyomas in the other. In both of these cases, the uterine cervix and lower part of the uterine corpus were extensively involved by multiple cysts on gross examination, and in one of them, a frozen section of the cervical lesion was initially interpreted as "suspicious for invasive minimal deviation adenocarcinoma." On microscopic examination, benign endosalpingiotic glands and cysts were found in all four cases, with striking transmural involvement of the uterine cervix and lower uterine segment and contiguous corpus in the two cases with uterine involvement. The latter two cases are the first examples, to our knowledge, of endosalpingiosis involving the wall of the uterus; the differential diagnosis in these cases includes minimal deviation adenocarcinoma and florid tubal metaplasia with cystification. The four cases in this report, and rare previously reported cases, indicate that although usually a microscopic finding, endosalpingiosis can rarely present as a clinically or grossly evident mass that can be confused with a neoplasm.

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Endosalpingiosis in the omentum: a study of autopsy and surgical material.

Kendall R. Zinsser, James E. Wheeler (1982)

Omenta removed either at surgery or autopsy were examined for benign glandular inclusions. Multiple random sections failed to reveal these inclusions in any of the 37 male or 27 female autopsy specimens. None of the 22 male surgical specimens contained benign cysts, whereas these inclusions were found in 19 of 128 (14.8%) of the female surgical specimens. One female patient had endometriotic cysts, two had mesothelial cysts, and 13 had inclusions histologically similar to oviduct epithelium (endosalpingiosis). Another female had both endometriotic cysts and endosalpingiosis, whereas two had both mesothelial cysts and endosalpingiosis. All 16 patients with endosalpingiosis had inflammatory tubal disease (e.g., chronic salpingitis, hydrosalpinx, tubal pregnancy). Four of these 16 females also had an ovarian tumor. These ovarian tumors included one serous cystadenoma, two serous cystadenomas of borderline malignancy, and one serous cystadenocarcinoma. We conclude that the endosalpingiotic inclusions are benign and occur exclusively in females. Since they are found in association with ovarian tumors, it is important to exclude well-differentiated metastases. Our findings support a close relationship between inflammatory tubal disease and endosalpingiosis.

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Author and article information

Journal

Journal ID (nlm-ta): Taehan Yongsang Uihakhoe Chi

Journal ID (iso-abbrev): Taehan Yongsang Uihakhoe Chi

Journal ID (publisher-id): JKSR

Title: Journal of the Korean Society of Radiology (Taehan Yŏngsang Ŭihakhoe chi)

Publisher: The Korean Society of Radiology

ISSN (Print): 1738-2637

ISSN (Electronic): 2288-2928

Publication date (Print): March 2021

Publication date (Electronic): 30 December 2020

Volume: 82

Issue: 2

Pages: 481-486

Affiliations

[1 ]제주대학교 의과대학 제주대학교병원 영상의학과 [1 ]Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.

[2 ]제주대학교 의과대학 제주대학교병원 산부인과 [2 ]Department of Obstetrics and Gynecology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.

[3 ]제주대학교 의과대학 제주대학교병원 외과 [3 ]Department of Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.

[4 ]제주대학교 의과대학 제주대학교병원 병리과 [4 ]Department of Pathology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.

Author notes

Corresponding author: Jeong Sub Lee, MD. Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine, 15 Aran 13-gil, Jeju 63241, Korea. Tel 82-64-717-1373, Fax 82-64-717-1370, shinshlee@ 123456naver.com

Article

DOI: 10.3348/jksr.2020.0098

PMC ID: 9431952

PubMed ID: 36238742

SO-VID: 39d78d7a-5750-4334-b2cf-c8e9d79495e2

License:

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

History

Date received : 18 May 2020

Date revision received : 15 June 2020

Date accepted : 23 June 2020

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서로 다른 해부학적 공간에 발생한 다발성 개화성 낭성 내난관종: 증례 보고 Translated title: Multicentric Florid Cystic Endosalpingiosis in Different Anatomical Spaces: A Case Report

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Most cited references 10

Uncommon primary pelvic retroperitoneal masses in adults: a pattern-based imaging approach.

Florid cystic endosalpingiosis with tumor-like manifestations: a report of four cases including the first reported cases of transmural endosalpingiosis of the uterus.

Endosalpingiosis in the omentum: a study of autopsy and surgical material.

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