Scar Endometriosis: Cytological Diagnosis

• Main Authors: Urvashee Dwivedi, Saumya Shukla, Nidhi Anand, Chetan Parashar, Nuzhat Husain
• Format: Article
• Language: English
• Published: Nepal Medical Association 2018-02-01
• Series: Journal of Nepal Medical Association
• Online Access: https://www.jnma.com.np/jnma/index.php/jnma/article/view/2940

Endometriosis occurring in a surgical scar is called incisional endometriosis. It is rare and can be diagnosed on the basis of detailed history, careful clinical examination and characteristic histology. An interesting case with immunocytological (ICC) confirmation is being reported. A 28-year-old female presented with a mass over anterior abdominal wall, of 3 years duration.  She had a past history of LSCS. On examination, the swelling was subcutaneous, measures 3x2cm was firm in consistency and located close to the previous incisional scar. Fine needle aspiration cytology was performed and the smears were moderately cellular and showed monolayered sheets of epithelial cells and stromal fragments. A cell block was also prepared that revealed few glands lined by tall columnar epithelium, surrounded by loose stroma. Immunohistochemistry panel comprising of CK 7 and CD 10 was performed, which were positive in glandular and stromal component respectively.