Cancer Res Treat.  2003 Apr;35(2):165-167.

M llerian-Type Gland Inclusions in Pelvic Lymph Nodes Mimicking Metastasis: A Case Report and Review of the Literature

• Yoo J
• Choi HJ
• Kang SJ

Abstract

Benign lymph node inclusions are rare, and can be mistaken for metastasis. We report, herein, a case of a 50-year-old woman who underwent a hysterectomy, with a lymphadenectomy, for an endometrial carcinoma. There was no lymph node metastasis; however, the left external and common iliac lymph nodes demonstrated a few glands, consistent with M llerian-type inclusions (endosalpingiosis). Awareness of these lesions is important to avoid either unnecessary therapy or any delay in treatment. Furthermore, pelvic and aortic lymphadenectomies may be warranted, as neoplastic transformation of preexisting metaplastic tubal-type epithelium is strongly suggested. This paper presents a case of intranodal endosalpingiosis mimicking metastasis.

Keyword

Endosalpingiosis; Lymph nodes

MeSH Terms

Endometrial Neoplasms
Epithelium
Female
Humans
Hysterectomy
Lymph Node Excision
Lymph Nodes*
Middle Aged
Neoplasm Metastasis*