Publication: Endometriosis of Groin Mimicking Neoplasm
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Endometriosis is principally a disease of women in active reproductive life.
Although it is rare, foci of endometrial tissue may be seen in the bowel, the
umbilicus, abdominal surgical scars and in the lungs. Inguinal endometriosis is
challenging to the clinicians and pathologist and often diagnosed accidentally.
We present a case of inguinal endometriosis mimicking neoplasm. A 40 year
old woman presented with a swelling in the right inguinal region associated
with cyclical pain. In view of presence of atypical cells in fine needle aspiration
cytology, metastatic carcinoma was rendered as diagnosis. Histopathological
examination revealed endometrial glands and stroma which was further
confirmed by immunohistochemistry. Diagnosis of inguinal endometriosis is
difficult and often challenging because of unusual site. The clinician must have
high index of suspicion with any patient who has cyclical symptoms. A good
history and physical examination can guide clinical diagnosis of endometriosis.
KEY WORDS
Endometriosis, Groin mass, Inguinal endometriosis
Description
Maharjan PB,1 Makaju R,1 Makaju S,2 Dhakal R,1 Lama B,1 Basnet D,1 Dhakal B1
1Department of Pathology
2Department of Surgery
Dhulikhel Hospital, Kathmandu University Hospital,
Kathmandu University School of Medical Sciences,
Dhulikhel, Kavre, Nepal
Keywords
Endometriosis, Groin mass, Inguinal endometriosis