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D efinition —A morphologic spectrum of tumors arising in endometriosis and displaying a müllerian (rather than intestinal) phenotype.
Rare, reports limited to small series.
Associated with borderline neoplasia usually serous or mucinous.
Most present in the fourth and fifth decades.
Considered a derivation of endometrioid differentiation (endometriotic cysts).
Unilateral or bilateral.
Parvilocular or multilocular. The appearance is often that of an endometrioid cyst with foci of excrescences.
Frequently bilateral, likely because of the association with endometriosis.
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