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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (2): 323-326    DOI: 10.12891/ceog4427.2019
Case Report Previous articles | Next articles
Polypoid endometriosis in a young woman: a case report and review of literature
Hyo Kyozuka1, *(), Shu Soeda1, Shinji Nomura1, Manabu Kojima1, Takafumi Watanabe1, Keiya Fujimori1
1Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, Fukushima, Japan
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Abstract  

The authors report a case of polypoid endometriosis (PE) in a young woman. In addition, they review the PE cases in patients under 40 years of age. A 34-year-old nulliparous presented with a vaginal polyp protruding from the posterior vaginal fornix and a boundary ambiguous mass located at Douglas’ pouch from the vaginal wall to the rectum, suggesting advanced malignancy. Because an intraoperative frozen section examination showed no evidence of malignancy, the authors opted for conservative management with administration of GnRH agonist once a month for six months followed by dienogest. MRI revealed marked improvement after the third administration of GnRH agonist. Including the present case, the authors identified 13 patients under 40 years old with PE. The notable macroscopic finding of PE was vaginal polyp formed by a protruded pelvic mass. The immunohistochemistry findings and a marked effect of GnRH agonist in the present case suggest the etiology of PE was related to estrogen stimulation.

Key words:  Polypoid endometriosis      Vaginal polyp      Gonadotropin releasing hormone agonist      Endometriosis     
Published:  10 April 2019     
*Corresponding Author(s):  HYO KYOZUKA     E-mail:  kyozuka@fmu.ac.jp

Cite this article: 

Hyo Kyozuka, Shu Soeda, Shinji Nomura, Manabu Kojima, Takafumi Watanabe, Keiya Fujimori. Polypoid endometriosis in a young woman: a case report and review of literature. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 323-326.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4427.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I2/323

[1] Jian-Zhong Pan, Yan Tang, Ling Li, Xin-Yue Xu, Xiao Cheng, Yuan-Yuan Chen. “Umbilical mass”: a case of primary umbilical endometriosis and literature review[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1227-1231.
[2] Sayuli Bhide, Rebecca Flyckt, Meng Yao, Tommaso Falcone. Long-term impact of chronic pelvic pain on quality of life in women with and without endometriosis[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 851-859.
[3] Xi-Wa Zhao, Meng-Meng Zhang, Jian Zhao, Wei Zhao, Shan Kang. Correlative factors associated with the recurrence of ovarian endometriosis: a retrospective study[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 962-968.
[4] Xiao Zhang, Ying-Ying He, Nan Jiang, Zhi-Gang Sun, Feng Yan, Cidanyangzong, Fang Long, Fang-Xin Shi, Xiao-Guang Xu, Zhen Xiao. The infiltrating ability of abdominal wall endometriosis is associated with ectopic endometrial glandular activity[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(1): 73-78.
[5] Masataka Ono, Junya Kojima, Ei Hasegawa, Yotaro Takaesu, Toru Sasaki, Hirotaka Nishi. Anti-Müllerian hormone levels following laparoscopic ovarian cystectomy with subcutaneous abdominal wall lifting for ovarian endometriomas[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(1): 91-97.
[6] D. Filipecka-Tyczka, A. Kajdy, B.P. Siekierski, M. Stańczyk, A. Rogowski, M. Rabijewski, R.B. Maksym. Deep infiltrating endometriosis as a cause of severe urogynecological complications despite invasive treatment - report of two cases from the center of endometriosis surgery[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 955-960.
[7] Y.A. Kim. Mature cystic teratoma of the uterus presenting as an endometrial polyp in a patient with a history of ovarian mature cystic teratoma with gliomatosis peritonei and ovarian endometriosis: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(5): 800-804.
[8] H. Takagi, S. Yamada, J. Sakamoto, S. Fujita, T. Sasagawa. Hemostatic effects of kyukikyogaito in dienogest treatment[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 560-564.
[9] K. Chmaj-Wierzchowska, M. Wojciechowska, I. Parda, K. Plagens-Rotman, P. Rzymski, M. Wilczak. How do health problems affect the quality and everyday life of patients with endometriomas?[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 571-575.
[10] X.J. Shi, L.B. Shi, S.Y. Zhang. Mechanistic study of vitamin C attenuation of endometriotic fibrosis[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 383-390.
[11] M. Ζafrakas, Κ. Κοtronis, P. Papasozomenou, P. Eskitzis, G. Grimbizis. Extracellular matrix metalloproteinases in the etiopathogenesis of endometriosis: a systematic review and critical appraisal[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 147-153.
[12] K.Y. Yun, S.Y. Hwang, H.J. Lee, S.C. Kim, J.K. Joo, D.S. Suh, K.H. Kim, K.S. Lee. The association of body mass index with incidence, stage and recurrence of endometriosis: case-control study in Korean women[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 53-56.
[13] Hue HJ, Kim SK, Choi JY, Suh DH, Kim KD, No JH, Lee JR, Jee BC, Kim YB, Jeon HW. Previous ovarian surgery increases the risk of tubal factor infertility[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 84-88.
[14] H.-H. Lee, M.-J. Mun, T.-H. Kim, Y.-S. Kim, W.-C. Jang, J.-Y. Hwang. Relationships between vitamin D receptor genetic polymorphisms and endometriosis in Korean women[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 876-880.
[15] A. Vitagliano, A. Andrisani, F. Dessole, G. Virdis, R. Cappadona, L. Marin, G. Capobianco, S. Dessole, G. Ambrosini. Rectovaginal endometriosis: head to head comparison between sonovaginography and magnetic resonance imaging[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 888-891.
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