Uteruslike mass of the ovary: endomyometriosis or congenital malformation? A case with a discussion of histogenesis.
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This case report examines an 18-year-old woman's uteruslike ovarian mass, discussing whether it resulted from endomyometriosis or a congenital malformation.
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Abstract
We describe an 18-year-old woman with a mass in the region of the right ovary. The mass, which had a central cavity lined by endometrium and surrounded by smooth muscle, extraordinarily resembled a uterus. Review of the literature disclosed only one such case in which this change was considered to arise from endomyometriosis of the ovary, a phenomenon characterized by smooth-muscle metaplasia in a focus of endometriosis. Although this possibility is interesting and plausible, we believe that a congenital malformation, possibly caused by a defect in fusion of müllerian ducts, should strongly be considered in explaining the pathogenesis of this kind of lesion.
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Cited by (22)
- Clinicopathological Characteristics of Primary Ovarian Adenomyoma: A Single-institutional Experience 2017
- A case of uterus-like mass of the ovary associated with endometriosis 2017
- Hepatic Uterus-Like Mass Misdiagnosed as Hepatic Abscess 2014
- Endomyometriosis (“Uterus - like mass”) in an XY Male 2014
- Uterus‐like mass of ovarian ligament: Image diagnosis and management by laparoendoscopic single‐site surgery 2011
- Uterus-Like Ovarian Mass with Elevated Serum Levels of CA 19-9 and CA 125: A Case Report and Review of the Literature 2010
- Cutaneous endometriosis: review of 15 cases diagnosed at a single institution 2010
- Multiple extrauterine adenomyomas and uterus-like masses: case reports and review of the literature 2009
- Uterus-like mass in the left broad ligament misdiagnosed as a malformation of the uterus: A case report of a rare condition and review of the literature 2009
- Primary ovarian adenomyoma in a woman with endometrial polyp: a case report and review of the literature 2009
- Extrauterine Adenomyoma With Atypical (Symplastic) Smooth Muscle Cells 2008
- The Pelvic Uterus-like Mass—A Primary or Secondary Müllerian System Anomaly? 2008
- Morphological variations of scar-related and spontaneous endometriosis of the skin and superficial soft tissue: A study of 71 cases with emphasis on atypical features and types of müllerian differentiations 2007
- Ovarian endomyometrioma with atypias: description of a case 2007
- Uterus‐like mass: MRI appearance of a very rare entity 2007
- Ovarian adenomyoma following gonadotrophin treatment for infertility 2006
- Uterus-like mass in the uterine cervix: superficial cervical endometriosis with florid smooth muscle metaplasia? 2001
- Endomyometriosis arising in the uterosacral ligament: A case report including a literature review and immunohistochemical analysis 2000
- Endometriosis<b>Laparoscopy—Diagnostic and Therapeutic Approaches</b> 1997
- A unique clonal chromosome 2 deletion in endomyometriosis 1996
- Diseases of the Peritoneum 1994
- Endometriosis, Lesions of the Secondary Müllerian System, and Pelvic Mesothelial Proliferations 1987
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
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- pubmed
- last seen: 2026-05-13T22:09:45.632124+00:00
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