Clinicopathologic review of extrapelvic endometriosis.

Lee, Seong Eui; Jeong, Ju Eun; Joo, Jong Kil; Lee, Kyu Sup

doi:2012.55.2.83

Original Article

Korean Journal of Obstetrics & Gynecology 2012;55(2):83-88.
DOI: https://doi.org/10.5468/KJOG.2012.55.2.83 Published online February 1, 2012.

Clinicopathologic review of extrapelvic endometriosis.

Seong Eui Lee, Ju Eun Jeong, Jong Kil Joo, Kyu Sup Lee

Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Busan, Korea. kuslee@pusan.ac.kr

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.

Key Words: Extrapelvic emdometriosis, Symptom, Diagnosis, Treatment