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Research ArticleResearch Article

Atypical Endometriosis: a Clinicopathologic Study of 163 Cases

Donghui Guo, Shujie Pang and Yan Shen
Chinese Journal of Clinical Oncology December 2007, 4 (6) 405-410; DOI: https://doi.org/10.1007/s11805-007-0405-0
Donghui Guo
Department of Pathology, Tianjin Central Obstetrics & Gynecology Hospital, Tianjin 300052, China.
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  • For correspondence: Dhuiguo{at}sina.com
Shujie Pang
Department of Pathology, Tianjin Central Obstetrics & Gynecology Hospital, Tianjin 300052, China.
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Yan Shen
Department of Pathology, Tianjin Central Obstetrics & Gynecology Hospital, Tianjin 300052, China.
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    Fig.1.

    Epithelium cells of AEM. A, prominent pleomorphism and stratification; B&C, epithelial tufting, as buds or firework-like; D, irregular gland; E, papilliform structures.

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    Fig.2.

    Epithelium and stroma. A, forming epithelium, endometrioid stroma and fibrostic-collagen three layer configuration; B, AEMs overlay thin endometrioid stroma and thick fibro-collagen tissue; C, scar-like tissue is under AEMs.

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    Fig.3.

    Metaplastic changes. A, mucinous metaplasia; B, clear cell metaplasia, an AEM focus of uterine serosa.

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    Fig.4.

    AEM associated with a tumor, the clear cell carcinioma is on the right.

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    Table 1.

    The conditions of AEMs with tumors in the same ovary.

    Tumor typesLeft No.Right No.
    Endometrioid adenocarcinoma25
    Clear cell carcinoma43
    Cystadenofibroma transformation malignance1
    Seromucinous borderline cystoadenoma23
    Serous borderline cystoadenoma3
    Mucinous borderline cystoadenoma1
    Benign cystoadenoma*12
    Total1215
    • ↵* Each of serous, mucinous and seromucous type had 1 case.

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    Table 2.

    Size of the ovarian AEM.

    Size of ovary (cm)No. (%)
    ≤326 (18.4)
    3.1~548 (34.1)
    ≥5.164 (45.4)
    Unclear3 (2.1)
    Total141 (100)
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    Table 3.

    Comparison of the size of ovarian AEM with EM.

    Size (cm)AEM No. (%)EM No. (%)
    ≤319 (31.1)20 (32.8)
    3.1~520 (32.8)27 (44.3)
    ≥5.122 (36.1)14 (22.9)
    Total61 (100)61 (100)
    • View popup
    Table 4.

    Metaplasias in AEM.

    TypeNo.%
    Eosinophilic5250.0
    Ciliated cell3230.7
    Mucinous1615.4
    Clear32.9
    Squamous11.0
    Total104100
    • View popup
    Table 5.

    The thickness of AEM.

    Thickness ( mm)Endometrioid stroma No. (%)Fibro-collagen No. (%)
    ≤0.0962 (36.0)5 (2.9)
    ~≤0.597 (56.4)42 (24.4)
    ~≤0.913 (7.6)31 (18.0)
    ~≤1.9052 (30.2)
    ~≤2.9030 (17.5)
    ≥3012 (7.0)
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Cancer Biology and Medicine: 4 (6)
Chinese Journal of Clinical Oncology
Vol. 4, Issue 6
December 2007
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Atypical Endometriosis: a Clinicopathologic Study of 163 Cases
Donghui Guo, Shujie Pang, Yan Shen
Chinese Journal of Clinical Oncology Dec 2007, 4 (6) 405-410; DOI: 10.1007/s11805-007-0405-0

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Atypical Endometriosis: a Clinicopathologic Study of 163 Cases
Donghui Guo, Shujie Pang, Yan Shen
Chinese Journal of Clinical Oncology Dec 2007, 4 (6) 405-410; DOI: 10.1007/s11805-007-0405-0
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Keywords

  • atypical endometriosis
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