J Menopausal Med.  2014 Apr;20(1):32-34.

Endosalpingiosis in Postmenopausal Elderly Women

• Park J
• Kim TH
• Lee HH
• Chung SH
• Jeon DS

Abstract

In gynecology, endosalpingiosis is a benign condition in which the fallopian tube-like epithelium is found outside the fallopian tube. The thirty-four point five percent of endosalpingiosis cases have concurrent endometriosis and 40% of the endosalpingiosis group are in postmenopausal states. In contrast with endometriosis, there are no significant links between infertility, chronic pelvic pain and endosalpingiosis. The symptoms of endosalpingiosis are not yet settled. Endosalpingiosis is almost always an incidental finding; it is commonly found through microscopic examinations, and is then confirmed by pathologists for excision and biopsy. Therefore, the clinical differential diagnosis of an intramural mass is more important for clinicians when discussing further surgery with the patients. We report case of woman who has endosalpingiosis and is presented with vaginal bleeding. We first suspect the disease during physical examination. Under the impression of pelvic mass, laboratory tests and radiological images of contrast enhanced chest computer tomography are taken. Images show multisepted cystic masses in left adnexa. To rule out the pelvic mass, we executed exploratory laparotomy. Pathologic results show endosalpingiosis near the ovary section. But the endosalpingiosis, is not generally considered a pathology, and thus, no treatment is necessary.

Keyword

Endometriosis; Fallopian tube diseases; Menopause; Uterine hemorrhage

MeSH Terms

Aged*
Biopsy
Diagnosis, Differential
Endometriosis
Epithelium
Fallopian Tube Diseases
Fallopian Tubes
Female
Gynecology
Humans
Incidental Findings
Infertility
Laparotomy
Menopause
Ovary
Pathology
Pelvic Pain
Physical Examination
Thorax
Uterine Hemorrhage

Figure

• 

  Fig. 1 From contrast enhanced abdominal computer tomography, the image shows multiseptated cystic mass in left adnexa.

Reference

1. Fausett MB, Zahn CM, Kendall BS, Barth WH Jr. The significance of psammoma bodies that are found incidentally during endometrial biopsy. Am J Obstet Gynecol. 2002; 186:180–183.

2. Prentice L, Stewart A, Mohiuddin S, Johnson NP. What is endosalpingiosis? Fertil Steril. 2012; 98:942–947.

3. 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; 23:166–175.

4. Kajo K, Zubor P, Macháleková K, Plank L, Visnovskỳ J. Tumor-like manifestation of endosalpingiosis in uterus: a case report. Pathol Res Pract. 2005; 201:527–530.

5. deHoop TA, Mira J, Thomas MA. Endosalpingiosis and chronic pelvic pain. J Reprod Med. 1997; 42:613–616.

6. Heinig J, Gottschalk I, Cirkel U, Diallo R. Endosalpingiosis-an underestimated cause of chronic pelvic pain or an accidental finding? A retrospective study of 16 cases. Eur J Obstet Gynecol Reprod Biol. 2002; 103:75–78.

7. Clement PB. Diseases of the peritoneum. In : Kurman RJ, editor. Blaustein's pathology of the female genital tract. New York, NY: Springer New York;1994. p. 647–703.

8. Lee SN, Cho MS, Kim SC, Han WS. Tumor-like multilocular cystic endosalpingiosis of the uterine serosa: possible clinical and radiologic misinterpreted. Acta Obstet Gynecol Scand. 2005; 84:98–99.

9. Corben AD, Nehhozina T, Garg K, Vallejo CE, Brogi E. Endosalpingiosis in axillary lymph nodes: a possible pitfall in the staging of patients with breast carcinoma. Am J Surg Pathol. 2010; 34:1211–1216.

10. Heatley MK, Russell P. Florid cystic endosalpingiosis of the uterus. J Clin Pathol. 2001; 54:399–400.

11. Fukunaga M. Tumor-like cystic endosalpingiosis of the uterus with florid epithelial proliferation. A case report. APMIS. 2004; 112:45–48.

12. Youssef AH, Ganesan R, Rollason TP. Florid cystic endosalpingiosis of the uterus. Histopathology. 2006; 49:546–548.

13. Park J, Kim TH, Lee HH, Lee W, Chung SH. Ovarian rete cyst in a post-menopausal woman: a case report. J Korean Soc Menopause. 2012; 18:67–69.

14. Kim TH, Lee HH, Chung SH, Kwak JJ, Park HS. Endometriosis detected in postmenopausal women not receiving menopausal hormone therapy: two case reports. J Korean Soc Menopause. 2010; 16:176–180.