Abstract
Case Report
We report a case of transmural florid cystic endosalpingiosis of the colon with tumor-like obstruction in a 90-year-old woman with abdominal distention and obstruction.
Pathological Findings
Colonoscopy examination revealed an obstructive luminal mass. Pathologic examination of the sigmoid colectomy specimen revealed a transmural, florid proliferation of mostly cystically dilated glands that were lined by epithelium that varied from flattened to ciliated tubal-type cells typical of endosalpingiosis. The pathologic diagnosis of florid cystic endosalpingiosis of the colon was made based on characteristic microscopic features and the immunoprofile. To our knowledge, this is only the second reported case in the English literature of this entity presenting as an obstructive colon mass.
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References
Bryce RL, Barbatis C, Charnock M. Endosalpingiosis in pregnancy. Case report. Br J Obstet Gynaecol. 1982;89:166–8.
Burmeister RE, Fechner RE, Franklin RR. Endosalpingiosis of the peritoneum. Obstet Gynecol. 1969;34:310–8.
Cajigas A, Axiotis CA. Endosalpingiosis of the vermiform appendix. Int J Gynecol Pathol. 1990;9:291–5.
Chen KT. Benign glandular inclusions of the peritoneum and periaortic lymph nodes. Diagn Gynecol Obstet. 1981;3:265–8.
Clement PB, Young RH. Florid cystic endosalpingiosis with tumor-like manifestations: a report of four cases including the first reported cases of transmural endosalpingiosis of the uterus. Am J Surg Pathol. 1999;23:166–75. doi:10.1097/00000478-199902000-00005.
Davies SA, Maclin VM. Endosalpingiosis as a cause of chronic pelvic pain. Am J Obstet Gynecol. 1991;164:495–6.
Zinsser KR, Wheeler JE. Endosalpingiosis in the omentum: a study of autopsy and surgical material. Am J Surg Pathol. 1982;6:109–17. doi:10.1097/00000478-198203000-00003.
McCluggage WG, Clements WD. Endosalpingiosis of the colon and appendix. Histopathology. 2001;39:645–6. doi:10.1046/j.1365-2559.2001.1311f.x.
Sawh RN, Malpica A, Deavers MT, et al. Benign cystic mesothelioma of the peritoneum: a clinicopathologic study of 17 cases and immunohistochemical analysis of estrogen and progesterone receptor status. Hum Pathol. 2003;34:369–74. doi:10.1053/hupa.2003.31.
Acknowledgement
The authors thank Dr. Alex Van Amerongen, St. Joseph Regional Health Center Laboratory, Bryan, Texas, for contributing this case in consultation.
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Liang, J.J., Malpica, A. & Broaddus, R.R. Florid Cystic Endosalpingiosis Presenting as an Obstructive Colon Mass Mimicking Malignancy: Case Report and Literature Review. J Gastrointest Canc 38, 83–86 (2007). https://doi.org/10.1007/s12029-008-9036-9
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DOI: https://doi.org/10.1007/s12029-008-9036-9