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ovarian endometriosis
Friday 6 July 2007
ovarian endometriosis (endometrioma of the ovary)
Images
Ovarian endometriosis. Note the hemosiderin-laden macrophages. IHC: CD10 highlights the endometrial stroma.
Synopsis
Endometriosis, or endometrioma, of the ovary may cause an adnexal mass in reproductive age females.
Pigmented foci on an otherwise normal ovary or a large solitary hemor-rhagic cyst are the gross findings.
Microscopy
Histologic findings include columnar-to-plump cuboidal epithelium with condensed sub-epithelial stroma, hemosiderin-laden macrophages, fibrosis, and inflammation.
Rare cases may also contain smooth muscle.
Patients with uterine anomalies may develop severe endometriosis.
Variants
ovarian endometriotic cyst (ovarian "endometrioma")
See also
endometriosis