Tag Michelle S. Hirsch MD PhD

Endosalpingiosis

D efinition — The presence of epithelium resembling fallopian tube epithelium outside the fallopian tube. Clinical Features Epidemiology Endosalpingiosis has been noted in up to 7% of reproductive-age women. It can be found in association with other pelvic pathologic processes…

Cortical Inclusion Cysts

D efinition — Ovarian cortical inclusion cysts (CICs) lined by either mesothelium (ovarian surface epithelium [OSE]) or müllerian epithelium. Clinical Features Epidemiology Very common. Found in the majority of ovaries in postmenopausal women. Associated with increasing age. Most plausible origin…

Decidualized Endometrioma

PITFALL D efinition — A variant of endometrioma that may be confused with malignancy on ultrasound. Clinical Features Epidemiology Relatively common. Seen during pregnancy. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles…

Endometrioma with Atypia

D efinition — Endometriotic epithelium with noncomplex architecture and nuclear atypia. Clinical Features Pathogenesis Occurs in endometriotic cysts. Possibly a very early neoplastic change akin to other lesions associated with endometriomas, such as müllerian mucinous cystadenomas, adenofibromas, and well-differentiated endometrioid…

Endometrioma with Mucinous Metaplasia

D efinition — Endometriotic epithelium with focal noncomplex mucinous differentiation. Clinical Features Pathogenesis Occurs in endometriotic cysts. Probably a very early neoplastic change akin to other lesions associated with endometriomas, such as müllerian mucinous cystadenomas, adenofibromas, and well-differentiated endometrioid adenocarcinomas.…

The Ovary in Pregnancy

D efinition — A constellation of findings in the ovary during gestation. Clinical Features Epidemiology Related to the pregnancy state. Linked to the effects of gonadotropins on the ovarian cortex. Can be particularly pronounced during multiple-gestation pregnancies and hydatidiform moles.…