The cytology of endometriosis
1966; Elsevier BV; Volume: 94; Issue: 4 Linguagem: Inglês
10.1016/0002-9378(66)90057-3
ISSN1097-6868
Autores Tópico(s)Endometriosis Research and Treatment
ResumoTHE MORE RIGID definition of endometriosis demand the histologic demonstration of typical endometrial glandular and stromal tissue for substantiation of the diagnosis. The definition is strict in order to exclude the many forms of peritoneal inclusion found in the pelvis. It is relaxed on occasion to admit only the stromal component in the more rare condition of stromal endometriosis. Diagnoses based on the epithelium alone are considered, at best, dubious. The definitions, though rigid, are limited in the sense that endometrial epithelial and stromal tissue do not necessarily exhaust the cellular potentialities of endometriosis. In light of the recent demonstration by Lauchlanl of endocervical-type epithelium in an abdominal scar, a review was made of those cases of endometriosis recorded in the files of the Winnipeg General Hospital. In this survey, cases from 1962 to the present time were drawn out and restudied. Only those instances showing the characteristic epithelium and stroma of endometriosis were diagnosed for the purposes of this study. Many were rejected for lack of one or other histologic component, and the final series of 49 acceptable examples falls considerably short of the number believed, on clinical and other grounds, to represent instances of endometriosis. No case of adenomyosis was included in this survey and, on somewhat arbitrary grounds, no case involving the uterine serosa was included. No attempt was made to assign a “primary” site to the disease process, and where two or more locations were each the site of disease satisfying the diagnostic
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