metricas
covid
Buscar en
Gastroenterología y Hepatología (English Edition)
Toda la web
Inicio Gastroenterología y Hepatología (English Edition) Polypoid endometriosis simulating an advanced ovarian neoplasm with infiltration...
Journal Information
Vol. 44. Issue 6.
Pages 433-434 (June - July 2021)
Vol. 44. Issue 6.
Pages 433-434 (June - July 2021)
Image of the month
Full text access
Polypoid endometriosis simulating an advanced ovarian neoplasm with infiltration of the intestinal wall: Echoendoscopic description of the case
Endometriosis polipoide simulando una neoplasia avanzada de ovario con infiltración de la pared intestinal: descripción ecoendoscópica del caso
Visits
343
Carla Amarala,b,c, Lidia Gonzálezd, Cristina Reygosaa,b,c, Alberto Hernándeza,b,c, Anjara Hernándeza,b,c, Manuel Hernández-Guerraa,b,c, Francisco Amayad, Antonio Z. Gimeno-Garcíaa,b,c,
Corresponding author
antozeben@gmail.com

Corresponding author.
a Servicio de Gastroenterología, Hospital Universitario de Canarias, La Cuesta, Santa Cruz de Tenerife, Spain
b Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), La Laguna, Santa Cruz de Tenerife, Spain
c Departamento de Medicina Interna, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife, Spain
d Servicio de Ginecología y Obstetricia, Hospital Universitario de Canarias, La Cuesta, Santa Cruz de Tenerife, Spain
This item has received
Article information
Full Text
Bibliography
Download PDF
Statistics
Figures (4)
Show moreShow less
Full Text

A 45-year-old patient with a history of endometriotic disease in whom a transvaginal ultrasound revealed a pseudopapillary cystic formation adjacent to the right adnexal mass. The CA-125 marker was 27.8U/ml (normal: <35U/ml). Magnetic resonance imaging (MRI) showed 2 cystic formations of 4cm with an irregular solid component of 17mm adjacent to the right ovary with pathological enhancement suggestive of mucinous cystadenocarcinoma (Figs. 1 and 2) and probable sigmoid involvement. To assess the infiltration of the wall, a rectal endoscopic ultrasound was requested, which showed a hypoechoic arboriform lesion of 20mm×20mm vascularised inside a cystic cavity (Figs. 3 and 4), without the sigmoid colon being compromised. The surgical specimen revealed endometriotic foci without signs of degeneration.

Figure 1.

Cross-sectional T2 magnetic resonance image.

(0.09MB).
Figure 2.

Sagittal section T2 magnetic resonance image.

(0.07MB).
Figure 3.

Conventional rectal endoscopic ultrasound image. Frequency 6MHz.

(0.05MB).
Figure 4.

Rectal endoscopic ultrasound image elastography in which the lesion acquires a purplish hue that could simulate a neoplastic lesion.

(0.07MB).

The novelty of the case that is presented lies, firstly, in the rarity of the polypoid presentation of endometriosis, with around 65 cases having been described in the literature.1–3 This manifestation raises the differential diagnosis with a neoplastic lesion as the MRI suggested.1 Secondly, it is the first case in which its appearance is described by digestive endoscopic ultrasound, and thus the dissemination of its ultrasound characteristics among gastroenterologists dedicated to endoscopic ultrasound is of interest.

References
[1]
W.T. Jaegle, J.C. Barnett, B.R. Stralka, N.P. Chappell.
Polypoid endometriosis mimicking invasive cancer in an obese, postmenopausal tamoxifen user.
Gynecol Oncol Rep, 22 (2017), pp. 105-107
[2]
R.L. Parker, F. Dadmanesh, R.H. Young, P.B. Clement.
Polypoid endometriosis: a clinicopathologic analysis of 24 cases and a review of the literature.
Am J Surg Pathol, 28 (2004), pp. 285-297
[3]
C. Schlesinger, S.G. Silverberg.
Tamoxifen-associated polyps (basalomas) arising in multiple endometriotic foci: a case report and review of the literature.
Gynecol Oncol, 73 (1999), pp. 305-311

Please cite this article as: Amaral C, González L, Reygosa C, Hernández A, Hernández A, Hernández-Guerra M, et al. Endometriosis polipoide simulando una neoplasia avanzada de ovario con infiltración de la pared intestinal: descripción ecoendoscópica del caso. Gastroenterol Hepatol. 2021;44:433–434.

Copyright © 2020. Elsevier España, S.L.U.. All rights reserved
Download PDF
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos