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Recurrent endometriosis following total hysterectomy with oophorectomy mimicking a malignant neoplastic lesion: a diagnostic and therapeutic challenge

  • Case Report
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Abstract

Case report

A woman with a previous hysterectomy and bilateral salpingo-oophorectomy for endometriosis presented with painless vaginal bleeding. Imaging revealed a heterogeneous soft tissue pelvic mass suggestive of a malignant neoplastic lesion. Radical surgery was performed including excision of the pelvic mass and anterior resection of the sigmoid colon. Histopathology revealed endometriosis.

Conclusion

The risk of malignant transformation and the difficulty in achieving a preoperative diagnosis make radical surgery inevitable in the management of recurrent endometriosis. The use of hormone replacement therapy after bilateral salpingo-oophorectomy for endometriosis remains controversial and requires careful counseling about recurrence and close follow-up.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Norfolk and Norwich University Hospital, Norwich, UK

    I. Giarenis, P. Giamougiannis, J. J. Nieto & S. G. Crocker

  2. Department of General Surgery, Norfolk and Norwich University Hospital, Norwich, UK

    C. T. M. Speakman

  3. 7, Horn-Pie Road, Norwich, Norfolk, NR5 9PW, UK

    I. Giarenis

Authors
  1. I. Giarenis
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  2. P. Giamougiannis
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  3. C. T. M. Speakman
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  4. J. J. Nieto
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  5. S. G. Crocker
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Correspondence to I. Giarenis.

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Giarenis, I., Giamougiannis, P., Speakman, C.T.M. et al. Recurrent endometriosis following total hysterectomy with oophorectomy mimicking a malignant neoplastic lesion: a diagnostic and therapeutic challenge. Arch Gynecol Obstet 279, 419–421 (2009). https://doi.org/10.1007/s00404-008-0723-3

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  • DOI: https://doi.org/10.1007/s00404-008-0723-3

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