Polypoid endometriosis in a young female with systemic lupus erythematosus, mimicking ovarian and pelvic malignancy, a case report
Objective: Polypoid endometriosis is a rare mass-like variant of endometriosis. Mass-like content with indistinct margins between the uterus and pelvic side wall mimics characteristics of pelvic malignancy. Systemic lupus erythematosus (SLE) has also been associated with higher incidences of endomet...
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Elsevier
2025-01-01
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Series: | Taiwanese Journal of Obstetrics & Gynecology |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455924002973 |
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author | Yu-Min Fan Tao-Yeuan Wang Jen-Ruei Chen |
author_facet | Yu-Min Fan Tao-Yeuan Wang Jen-Ruei Chen |
author_sort | Yu-Min Fan |
collection | DOAJ |
description | Objective: Polypoid endometriosis is a rare mass-like variant of endometriosis. Mass-like content with indistinct margins between the uterus and pelvic side wall mimics characteristics of pelvic malignancy. Systemic lupus erythematosus (SLE) has also been associated with higher incidences of endometriosis. However, SLE cases with polypoid endometriosis have never been reported in English literature. Case report: A 33-year-old female presented with SLE and polypoid endometriosis. Initially, she received a left salpingo-oophorectomy due to suspicion of ovarian malignancy, but only endometrioma with polypoid feature was diagnosed. Repeated second surgery was conducted because of a new-growth complex mass between the uterus and the pelvic side wall, causing myometrial invasion and left hydroureter/hydronephrosis. Finally, polypoid endometriosis of the pelvic side wall was diagnosed pathologically. Conclusion: Polypoid endometriosis is still a diagnostic challenge before pathological confirmation. This case of SLE and polypoid endometriosis may be the first reported worldwide. |
format | Article |
id | doaj-art-3e08236690f4417eb188175fb5d02ccf |
institution | Kabale University |
issn | 1028-4559 |
language | English |
publishDate | 2025-01-01 |
publisher | Elsevier |
record_format | Article |
series | Taiwanese Journal of Obstetrics & Gynecology |
spelling | doaj-art-3e08236690f4417eb188175fb5d02ccf2025-01-09T06:12:55ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592025-01-01641166169Polypoid endometriosis in a young female with systemic lupus erythematosus, mimicking ovarian and pelvic malignancy, a case reportYu-Min Fan0Tao-Yeuan Wang1Jen-Ruei Chen2Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, TaiwanDepartment of Pathology, MacKay Memorial Hospital, Taipei, Taiwan; Department of Medicine, MacKay Medical College, New Taipei City, TaiwanDepartment of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan; MacKay Junior College of Medicine, Nursing and Management, New Taipei City, Taiwan; Department of Medicine, MacKay Medical College, New Taipei City, Taiwan; Corresponding author. No.92, Sec. 2, Zhong-shan N Rd, Zhong-shan Dist., Taipei, 10449, Taiwan.Objective: Polypoid endometriosis is a rare mass-like variant of endometriosis. Mass-like content with indistinct margins between the uterus and pelvic side wall mimics characteristics of pelvic malignancy. Systemic lupus erythematosus (SLE) has also been associated with higher incidences of endometriosis. However, SLE cases with polypoid endometriosis have never been reported in English literature. Case report: A 33-year-old female presented with SLE and polypoid endometriosis. Initially, she received a left salpingo-oophorectomy due to suspicion of ovarian malignancy, but only endometrioma with polypoid feature was diagnosed. Repeated second surgery was conducted because of a new-growth complex mass between the uterus and the pelvic side wall, causing myometrial invasion and left hydroureter/hydronephrosis. Finally, polypoid endometriosis of the pelvic side wall was diagnosed pathologically. Conclusion: Polypoid endometriosis is still a diagnostic challenge before pathological confirmation. This case of SLE and polypoid endometriosis may be the first reported worldwide.http://www.sciencedirect.com/science/article/pii/S1028455924002973EndometriosisOvarian cancerPelvic malignancyPolypoid endometriosisSystemic lupus erythematosusSLE |
spellingShingle | Yu-Min Fan Tao-Yeuan Wang Jen-Ruei Chen Polypoid endometriosis in a young female with systemic lupus erythematosus, mimicking ovarian and pelvic malignancy, a case report Taiwanese Journal of Obstetrics & Gynecology Endometriosis Ovarian cancer Pelvic malignancy Polypoid endometriosis Systemic lupus erythematosus SLE |
title | Polypoid endometriosis in a young female with systemic lupus erythematosus, mimicking ovarian and pelvic malignancy, a case report |
title_full | Polypoid endometriosis in a young female with systemic lupus erythematosus, mimicking ovarian and pelvic malignancy, a case report |
title_fullStr | Polypoid endometriosis in a young female with systemic lupus erythematosus, mimicking ovarian and pelvic malignancy, a case report |
title_full_unstemmed | Polypoid endometriosis in a young female with systemic lupus erythematosus, mimicking ovarian and pelvic malignancy, a case report |
title_short | Polypoid endometriosis in a young female with systemic lupus erythematosus, mimicking ovarian and pelvic malignancy, a case report |
title_sort | polypoid endometriosis in a young female with systemic lupus erythematosus mimicking ovarian and pelvic malignancy a case report |
topic | Endometriosis Ovarian cancer Pelvic malignancy Polypoid endometriosis Systemic lupus erythematosus SLE |
url | http://www.sciencedirect.com/science/article/pii/S1028455924002973 |
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