Multiple Polypoid Endometriosis‐A Rare Complication Following Withdrawal of Gonadotrophin Releasing Hormone (GnRH) Agonist for Severe Endometriosis: A Case Report

Othman, Nor Hayati; Othman, Mohd Shukri; Ismail, Aisyah; Mohammad, Nurashikin; Ismail, Zhari

doi:10.1111/j.1479-828x.1996.tb03291.x

Cited by 31 publications

(27 citation statements)

References 7 publications

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“…Compared to literature cases [1][2][3][4][5][6][7][8][9][10][11][12] (Table 1), our case was younger, considerably huge in size, and the lesions developed in the pelvis rapidly as soon as there was a break of hormonal therapy. The cause of this rapid growth of lesions is uncertain, but interruption of hormonal treatment could have contributed to hyperestrinism and raised polypoid masses in this case.…”

Section: Discussionmentioning

confidence: 48%

Huge polypoid endometriosis: report of a case and review of the literature

et al. 2015

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'Polypoid endometriosis' is a rare variant of endometriosis. We describe a case of an extremely large polypoid endometriosis mimicking a malignant tumor. A 37-year-old nulliparous woman was referred due to the rapid growth of an endometriotic cyst of the ovary and a high serum CA125 level. MRI revealed solid components in the pelvic mass. These preoperative clinical data were compatible with an ovarian carcinoma. A frozen section of the tumor biopsy showed as if an adenosarcoma, but finally the diagnosis of polypoid endometriosis with decidual change was made on permanent section. Polypoid endometriosis is a part of the differential diagnosis for malignant tumors in women with endometriosis, and we should consider carefully decision making for treatment.

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Section: Discussionmentioning

confidence: 48%

Huge polypoid endometriosis: report of a case and review of the literature

et al. 2015

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“…This condition has been defi ned as "exophytic or polypoid, tumor-like masses that project from a serosal or mucosal surface or from the lining of an endometriotic cyst." 6 Othman et al 7 reported that these polyps may develop as a rebound phenomenon upon withdrawal of GnRH analogue, as in our case.…”

Section: Discussionmentioning

confidence: 65%

Polypoid endometriosis of the ureter mimicking fibroepithelial polyps

Marugami

Hirohashi²,

Kitano

et al. 2008

Radiat Med

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We present a case of polypoid endometriosis of the ureter that showed bilateral polypoid intraluminal masses in the lower part of the ureter mimicking ureteral fibroepithelial polyps, arising with a background of pelvic endometriosis and a history of gonadotropin releasing hormone (GnRH) therapy. Magnetic resonance imaging revealed the masses to have high signal intensity on T2-weighted imaging. The location and bilaterality of the polypoid intraluminal masses are considered useful points in the differential diagnosis of fibroepithelial polyps.

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“…Dadmanesh et al , in their series on 15 patients with polypoid endometriosis, also did not report an association with tamoxifen 9. Polypoid endometriosis has also been described in association with withdrawal of gonadotropin-releasing hormone agonist 10. There was no history of tamoxifen or unopposed oestrogen therapy in our case.…”

Section: Discussionmentioning

confidence: 51%

Multifocal polypoid endometriosis in a young woman simulating vaginal and pelvic neoplasm

et al. 2010

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A 27-year-old nulliparous woman presented with large finger-like projections protruding from her vagina. Intraoperatively there were deposits in the pouch of Douglas. Clinical presentation and history of vaginal bleeding suggested malignancy. Histopathology of both the vaginal and pouch of Douglas masses showed endometrial glands and stroma. There was no architectural complexity or cytological atypia of glands or stroma. Immunohistochemistry for oestrogen receptor, progesterone receptor and CD10 was positive. Based on morphological and immunohistochemical findings, multifocal polypoid endometriosis was diagnosed; this is a recently described entity having a clinical presentation and age range completely different from conventional or non-polypoid endometriosis. Although an association between tamoxifen use, unopposed oestrogen therapy and polypoid endometriosis has been suggested, the patient had no history of tamoxifen or oestrogen intake. Polypoid endometriosis should be part of the differential diagnosis in young women presenting with vaginal growth.

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Multiple Polypoid Endometriosis‐A Rare Complication Following Withdrawal of Gonadotrophin Releasing Hormone (GnRH) Agonist for Severe Endometriosis: A Case Report

Cited by 31 publications

References 7 publications

Huge polypoid endometriosis: report of a case and review of the literature

Huge polypoid endometriosis: report of a case and review of the literature

Polypoid endometriosis of the ureter mimicking fibroepithelial polyps

Multifocal polypoid endometriosis in a young woman simulating vaginal and pelvic neoplasm

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