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Year : 2017  |  Volume : 31  |  Issue : 3  |  Page : 214-216

Utility of cell block preparation for preoperative diagnosis of scar endometriosis

Department of Pathology, Lady Hardinge Medical College, New Delhi, India

Correspondence Address:
Preeti Rai
Department of Pathology, Lady Hardinge Medical College, New Delhi - 110 001
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jms.jms_63_16

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Endometriosis is a condition where endometrial glands and stroma are ectopically located in sites other than the uterine cavity. Cesarean scar endometriosis is rare with an incidence varying from 0.03% to 0.5%. Fine-needle aspiration cytology (FNAC) can be a valuable diagnostic aid in the evaluation of these subcutaneous abdominal masses which are often misdiagnosed. We report a case of cesarean scar endometriosis presenting as a tender abdominal nodule which was diagnosed by FNAC and confirmed by cell block preparation with progesterone receptor and CD10 positivity on immunohistochemistry. The use of cell blocks has been widely advocated in the diagnostic workup of patients with masses amenable to fine-needle aspiration (FNA) since they provide diagnostic architectural information which complement FNA smears.

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