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Retrospective Histopathological Analysis of Endometriosis: An Elusive Disease with Different Presentation

B. Syam Sundar, Associate Professor, Department of Pathology, Narayana Medical College, Chintareddy Palem, Nellore, Andhra Pradesh 524003, India. , Byna Syam Sundara Rao* , Vissa Shanthi** , Nandam Mohan Rao* , Vydehi Bheemaraju*** , Bhavana Grandhi**** , Vijayalakshmi Muram Reddy****

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Indian Journal of Pathology: Research and Practice 6(3(part-2)):p 744-749, Jul-Sep 2017. | DOI: http://dx.doi.org/10.21088/ijprp.2278.148X.6317.41

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Background: Endometriosis is an important benign gynecologic pathology defined by presence of a tissue similar to uterine endometrium, which is located endometrial glands and stroma out side of the uterus associated with pelvic pain. The most common site is ovaries followed by posterior broad ligament, fallopian tubes, and colon and round ligaments. Objective: To evaluate the endometriosis cases through pathologic analysis of histological features, age, site, and clinical presentation of endometriosis. Materials & Methods: Retrospective study was undertaken for a period of 2years from May 2015 to May 2017 in department of pathology, Narayana Medical College & Hospital, Nellore, and Andhra Pradesh, India. Results: 20 Cases of endometriosis recorded in the department of pathology in 2 years (May 2015-May 2017). Of all endometriosis cases, majority were found in 30-40 years age group. Most common site was ovary 11 cases (55%), and least common site was abdominal wall (scar) 1 case (5%), sigmoid colon 1 case (5%). Most common presentation was pelvic pain 7 cases (35%) and dysmenorrhea 5 cases (25%), menorrhagia 4 cases (20%) , constipation 1 case (5%) and abdominal lump 1 case (5%). Common associated pelvic pathology was leiomyoma of uterus. Conclusion: Endometriosis has no pathognonomic signs or symptoms and it is difficult to diagnose clinically. Histopathology is gold standard test for confirmation of the diagnosis.

Keywords: Endometriosis; Histogenesis; Histopathology; Ovaries. 

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DOI: http://dx.doi.org/10.21088/ijprp.2278.148X.6317.41

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