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Re: Endometrioma pathology

From: anonymous@obgyn.net
Sun Sep 16 14:44:00 2001


anonymous@obgyn.net wrote: Hallo Jessica, I'm not a doctor, but i try to explain what I can read. This is not a rare endometriosis histologie -it is a description - of the age and degree of it. If you want to find out a bit more there is a site in endo.... ( I look it up, and post it later)Sorry I lost the addres. But I'll be back in a minute. Because there it is explained easy understandable. Which tells the doctor what kind of treatment should be applied. If the endometriomas are removed- it is fine. So there is no worry of them any more.

Best of luck Sybille >
> I'm trying to figure out what, if any, discrepancies or differntials
> can be found in each of out pathology reports.
>
> Specifically I had a baseball size endometrioma removed from my
> abdominal wall and anterior abdominal rectus muscle.
>
> I now have developed more of these "endometriomas" in the abdominal
> wall and this agressiveness is consistant with a desmoid (muscle)
> tumor.
>
> Please if you have a pathology report and have had this done for
> you "endometrioma" or "chocolate cyst" as called sometimes would you
> kindly describe or copy the written pathology.
>
> Mine is as follows.
>
> Gross examination: fibrofatty tissue fragments. Sectioning shows a
> hemorrhagic fibrotic central focus. also another aggregate of
> fibrofatty tissue with central hemorrhage.
> Microscopic examination: Sectioning show abdominal wall, soft tissue
> and tendinous tissue with numerous foci of endometriosis with mature
> endometrial glands set in an endometrial type stroma. THere is
> surrounding fibrosis and tissue hemorrhage. Specimen 2 shows
> skeletal muscle with similar involvement by endometriosis.
>
> Final DIagnosis
> Incisional hernia sac with endometriosis with associated hemorrhage
> and surrounding fibrosis.
> Endometriosis involving abdominal wall soft tissue and musclulature
> with associalted fibrosis, inflammation and hemorrhage.
>
> I hope this isn't too technical. I'm trying to further my knowledge
> on the specific differences with spotty endometriosis, endometriomas
> and muscle involvelment and recurrence. Any relation to desmoid tumors
> (muscle tumors)?
>
> Thanks and God Bless
> Jessica
>

lonlich




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