Slide 81.》Endometriosis, Ovary
A. Brief Descriptions:
Definition: presence of endometrial glands or stroma in abnormal locations outside the uterus.
Sites (in desecnding order of frequency): ovaries, uterine ligaments, rectovaginal septum, pelvic peritoneum, laparotomy scars, rarely in the umbilicus, vagina, vulva, or appendix
Symptoms and signs: infertility, dysmenorrhea, pelvic pain, and other problems.
B. Gross Findings:
"Chocolate cysts" : a moderately thin-walled cyst containing dark purple-brown, semisolid, sticky material.
C. Micro Findings：
Two of the three following features:
Old hemorrhage with hemosiderin-laden macrophage.
Robbins Pathologic Basis of Disease, 6th ed. P.1057-1058.
【 Fig. 81-2 (LP)】Cystic lesion walled by endometrial tissue in the ovarian parenchyma.
【 Fig. 81-2 (HP)】Endometriosis with endometrial glands, endometrial stroma and hemorrhage.
【 Fig. 81-3 (LP)】Cystic lesion and old hemorrhage with hemosiderin deposition.