M llerian-Type Gland Inclusions in Pelvic Lymph Nodes Mimicking Metastasis: A Case Report and Review of the Literature.
- Author:
Jinyoung YOO
1
;
Hyun Joo CHOI
;
Seok Jin KANG
Author Information
1. Department of Pathology, St. Vincent's Hospital, The Catholic University, Suwon, Korea.
- Publication Type:Case Report
- Keywords:
Endosalpingiosis;
Lymph nodes
- MeSH:
Endometrial Neoplasms;
Epithelium;
Female;
Humans;
Hysterectomy;
Lymph Node Excision;
Lymph Nodes*;
Middle Aged;
Neoplasm Metastasis*
- From:Cancer Research and Treatment
2003;35(2):165-167
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Benign lymph node inclusions are rare, and can be mistaken for metastasis. We report, herein, a case of a 50-year-old woman who underwent a hysterectomy, with a lymphadenectomy, for an endometrial carcinoma. There was no lymph node metastasis; however, the left external and common iliac lymph nodes demonstrated a few glands, consistent with M llerian-type inclusions (endosalpingiosis). Awareness of these lesions is important to avoid either unnecessary therapy or any delay in treatment. Furthermore, pelvic and aortic lymphadenectomies may be warranted, as neoplastic transformation of preexisting metaplastic tubal-type epithelium is strongly suggested. This paper presents a case of intranodal endosalpingiosis mimicking metastasis.