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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Main Authors: Yu-Min Fan, Tao-Yeuan Wang, Jen-Ruei Chen
Format: Article
Language:English
Published: Elsevier 2025-01-01
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.
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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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