Korean J Obstet Gynecol.  2012 Feb;55(2):83-88. 10.5468/KJOG.2012.55.2.83.

Clinicopathologic review of extrapelvic endometriosis

• Lee SE
• Jeong JE
• Joo JK
• Lee KS

• KMID: 2078119
• DOI: http://doi.org/10.5468/KJOG.2012.55.2.83

Abstract

OBJECTIVE
To evaluate the clinicopathologic features of extrapelvic endometriosis in order to help diagnosis and treatment.
METHODS
Thirty patients with extrapelvic endometriosis were surgically diagnosed at Pusan National University Hospital from January 1998 to December 2010. We retrospectively reviewed the medical records such as age, symptoms, preoperative diagnosis, past surgical history.
RESULTS
There were 30 patients who were diagnosed extrapelvic endometriosis surgically with a mean age of 38 years. The main symptom was palpable mass with pain, noncyclic (33%, n=9), or cyclic (67%, n=21). Fifteen endometriomas were found in the previous scar of cesarean section and laparoscopic surgery. Three endometriomas were noted in episiotomy site and ten were in cervix. Inguinal and vaginal endometriosis, one case was investigated, respectively.
CONCLUSION
Diagnosis of extrapelvic endometriosis is difficult to diagnose because of its rarity and diversity of symptoms. Thus, It must be kept in mind as one of the differential diagnosis to treat patients with pain or palpable mass during menstrual cycle in or around surgical scars, even if vaginal spotting or abnormal pap test. Radical local excision help to treat and prevent recurrence of extrapelvic endometriosis.

Keyword

Extrapelvic emdometriosis; Symptom; Diagnosis; Treatment

MeSH Terms

Cervix Uteri
Cesarean Section
Cicatrix
Diagnosis, Differential
Endometriosis
Episiotomy
Female
Humans
Laparoscopy
Medical Records
Menstrual Cycle
Metrorrhagia
Pregnancy
Recurrence
Retrospective Studies

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