Source:http://linkedlifedata.com/resource/pubmed/id/18184421
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
2008-1-10
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pubmed:abstractText |
A case of retroperitoneal lymphangioleiomyomatosis (LAM) arising from endosalpingiosis is described. A 25-year-old woman with no history of tuberous sclerosis or hormonal therapy presented with a painless, palpable abdominal mass. Computed tomographic and magnetic resonance imaging studies of the abdomen demonstrated a 4 cm cystic mass in the retroperitoneum. Macroscopically, the excised retroperitoneal cyst was multilocular and measured 4.0 x 3.5 x 3.5 cm. Histologically, the lesion demonstrated three components. The first comprised multiple cysts or glands lined by columnar epithelial cells with cilia. The second component was a condensation of small stromal cells immediately subjacent to the cystic epithelium or glands. The third component was a thick exterior wall composed of plump spindle cells with clear to palely eosinophilic cytoplasm in a fascicular pattern, and slit-like vascular spaces, resembling LAM. Immunohistochemically, the epithelium and glands were positive for cytokeratin 7. The stromal cells were positive for vimentin and CD10. The cells of the LMA-like component showed positive staining for HMB45, alpha-smooth muscle actin, muscle actin and h-caldesmon. The lesion, LAM arising from endosalpingiosis, represents a distinctive pathologic entity that should be recognized and studied further. This type of lesion should be included in the differential diagnosis of retroperitoneal cystic lesions.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0903-4641
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
115
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1460-5
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pubmed:meshHeading |
pubmed-meshheading:18184421-Adult,
pubmed-meshheading:18184421-Diagnosis, Differential,
pubmed-meshheading:18184421-Fallopian Tube Diseases,
pubmed-meshheading:18184421-Female,
pubmed-meshheading:18184421-Humans,
pubmed-meshheading:18184421-Immunohistochemistry,
pubmed-meshheading:18184421-Lymphangioleiomyomatosis,
pubmed-meshheading:18184421-Lymphangioma,
pubmed-meshheading:18184421-Ovariectomy,
pubmed-meshheading:18184421-Pregnancy,
pubmed-meshheading:18184421-Pregnancy, Ectopic,
pubmed-meshheading:18184421-Retroperitoneal Neoplasms
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pubmed:year |
2007
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pubmed:articleTitle |
Retroperitoneal lymphangioleiomyomatosis associated with endosalpingiosis.
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pubmed:affiliation |
Department of Pathology, Jikei University School, Tokyo, Japan. maasafu@jikei.ac.jp
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pubmed:publicationType |
Journal Article,
Case Reports
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