Journal of Cytology
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CASE REPORT
Year : 2001  |  Volume : 18  |  Issue : 3  |  Page : 167-170

Diagnosis of cutaneous scar endometriosis by fine needle aspiration cytology


1 Professor, Department of Pathology, Lady Hardinge Medical College, New Delhi - 110 001, India
2 Senior Resident, Department of Pathology, Lady Hardinge Medical College, New Delhi - 110 001, India

Correspondence Address:
M Jain
Professor, Department of Pathology, Lady Hardinge Medical College, New Delhi - 110 001
India
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Source of Support: None, Conflict of Interest: None


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We describe the cytologic features of three cases of cutaneous (scar)endometriosis in young women ranging from 20 to 40 years of age. All three cases presented as lower abdominal nodules associated with a previous caesarean section scar. The FNAC smears were cellular, consisting of epithelial and stromal fragments. The epithelial cells were arranged in sheets, with round to oval overlapping uniformly hyperchromatic nuclei. The stromal fragments consisted of loosely arranged spindle shaped cells along with scattered haemosiderin laden macrophages. Two of the three cases were confirmed subsequently oh histopathology. We therefore emphasize the role of FNAC in the diagnosis of cutaneous and subcutaneous endometriosis and in differentiating these lesions from focal fibrosis, desmoid tumours, primary and metastatic tumours.


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