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Year : 2017  |  Volume : 29  |  Issue : 4  |  Page : 232-234

Fine-needle aspiration cytology of a cesarean scar endometriosis

1 Department of Pathology, Anadman and Nicobar Islands Institute of Medical Sciences, Port Blair, Andaman and Nicobar Islands, India
2 Department of Pathology, GSVM Medical College, Kanpur, Uttar Pradesh, India
3 Department of Pathology, LBS Hospital, New Delhi, India

Correspondence Address:
Jitendra Singh Nigam
Department of Pathology, Anadman and Nicobar Islands Institute of Medical Sciences, Port Blair - 744 104, Andaman and Nicobar Islands
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tcmj.tcmj_37_17

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Endometriosis is the presence of functioning endometrium outside the basement membrane of the uterine endometrium. It affects women of reproductive age and usually presents as a painful nodule over a period of 3 months to 10 years after surgery. Extrapelvic endometriosis is uncommon and more difficult to diagnose due to its variable presentation and is often confused with other surgical conditions. Fine-needle aspiration cytology (FNAC) is a rapid, cost-effective, and accurate diagnostic tool when making this diagnosis. Wide excision is the treatment of choice for scar endometriosis as well as for recurrent lesions. We present a case of scar endometriosis in a 30-year-old female who had undergone a cesarean section 2 years previously and was diagnosed by FNAC. A later histopathological examination confirmed the cytological diagnosis of scar endometriosis.

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