Ectopic Breast Tissue in the Scar Endometriosis: A Case Report

Abstract

Endometriosis is the ectopic presence of the endometrial stroma and glands outside of the uterus. Scar endometriosis is a rare subtype. Endometriosis usually seen in the pelvic organs. Extragenital endometriosis can be anywhere in the body.

Ectopic breast tissue is a congenital anomaly and can be anywhere in the milk line from axillary to breast. This is the case of salpingooophorectomy due to ectopic pregnancy. The patient has undergone another surgery because of painful swelling in abdominal wall 7 months later of first surgery. The biopsy material shows appearance of ectopic breast tissue in the focus of endometriosis.

Keywords

• : Endometriosis
• scar endometriosis
• ectopic breast tissue
• surgical excision

Skar Endometriozis İçinde Ektopik Meme Dokusu: Olgu Sunumu

Öz

Endometriozis uterus dışında endometrial stroma ve glandların ektopik yerleşimidir. Skar endometriozisi bu tablonun nadir bir formudur. Endometriozis vucutta en sık pelvik organlarda bulunur. Ekstragenital endometriozis ise vücudun her yerinde olabilir ( 1-2 ).Ektopik meme dokusu konjenital bir anomali olup aksilladan kasığa kadar süt çizgisinin herhangi bir yerinde olabilir( 3 ).Bu olguda ektopik gebelik nedeniyle salpingoooferektomi yapılıp yedi ay sonra karın ön duvarında ağrılı şişlik nedeniyle opere edilen hastaya ait biyopsi materyalinde endometriozis odağı içinde ektopik meme dokusunun görülmesi sunulmaktadır.

Anahtar Kelimeler

• : Endometriozis
• Scar endometriozisi
• Ektopik meme dokusu
• Cerrahi eksizyon

Kaynakça

1. 1. Blanco RG,Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH, Abdominal wall endometriomas. Am j surg 2003;185:596-8
2. 2. Spaczynski RZ, Duleba AJ. Diagnosis of endometriosis. Semin Reprod Med 2003;21:193-208.
3. 3. Rosai J.Meme.Özdamar ŞO.eds.Rosai ve Ackerman’ın Cerrahi Patolojisi. 10. baskı, İstanbul, Nobel, 2015;1662-1663
4. 4. Taff L, Jones S. Cesarean scar endometriosis. A report of two cases. J Reprod Med 2002; 47: 50-2.
5. 5. Medeiros FC, Cavalcante DI, Medeiros MA, Eleutério J Jr. Fine-needle aspiration cytology of scar endometriosis: Study of seven cases and literature review. Diagn Cytopathol 2011; 39: 18-21.
6. 6. Odobasic A, Pasic A, Iljazovic-LatifagicE. Perineal endometriosiz a case report and review of the literature. Tech Coloproctol 2010; 14: 25-7.
7. 7. Raza S, Maqsood R. Siddiqi HA, Abdominal wall endometriosis. J Coll Physicians Surg Pak 2010; 20: 60-1.
8. 8. Pathan ZA, Dinesh U, Rao R. Scar endometriosis. J Cytol 2010;27(3):106-8.

9. 9. Sengul I, Sengul D, Kahyaoglu S, Kahyaoglu I. Incisional endometriosis: A report of 3 cases. Can J Surg 2009;52(5):444-5.
10. 10. Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometriomas. Am J Surg 2003;185(6):596-8.
11. 11. Erdem A, Erdem M, Göl K, Yıldırım M. Cesearean scar endometriosis: Case report. Türkiye Klinikleri J Gynecol Obst 1992;2(1):15-6.