Deciduosis in a cesarean scar
DOI:
https://doi.org/10.4322/acr.2021.383Keywords:
Cesarean Section, Embryo implantation, CicatrixAbstract
Deciduosis is the presence of ectopic decidual tissue outside the uterus, pelvic, or abdominal organs usually associated with pregnancy. Cutaneous deciduosis is a highly uncommon manifestation of deciduosis and most commonly is misdiagnosed as a primary malignancy or a metastatic deposit. Typically, it is detected incidentally during operative procedures. It has been rarely documented within a surgical scar; with the incidence of surgically proven deciduosis being approximately 1.6%, and is often difficult to diagnose due to its rarity. Here, we present a case of deciduosis of cesarean scar in a 34-year-old pregnant female.
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Dasani M, Lee HJ, Rijhsinghani A. Deciduoma, a large intrauterine mass of deciduosis. AJP Rep. 2019;9(4):e337-40. http://dx.doi.org/10.1055/s-0039-1697647. PMid:31737406.
Fair KP, Patterson JW, Murphy RJ, Rudd RJ. Cutaneous deciduosis. J Am Acad Dermatol. 2000;43(1):102-7. http://dx.doi.org/10.1067/mjd.2000.100962. PMid:10863233.
Kute K, Swami S, Narwade S, Badlani K. Deciduosis in a cesarean scar: a case report. Int J Clin Diagnostic Pathol. 2021;4(1):174-5. http://dx.doi.org/10.33545/pathol.2021.v4.i1c.345.
Walker A. Der bau der eihaeute bei graviditatis abdominalis. Virch Arch Path Anat. 1887;197(1):72-99. http://dx.doi.org/10.1007/BF01925798.
Bolat F, Canpolat T, Tarim E. Pregnancy-related peritoneal ectopic decidua (deciduosis): morphological and clinical evaluation. Turk Patoloji Dergisi. 2012;28(1):56-60.
Zaytsev P, Taxy J. Pregnancy-associated ectopic decidua. Am J Surg Pathol. 1987;11(7):526-30. http://dx.doi.org/10.1097/00000478-198707000-00004. PMid:3605488.
Busca A, Parra-Herran C. Ovary other non neoplastic ectopic decidual reaction. PathologyOutlines.com; 2017. p. 1.
Valatkaitė E, Baušytė R, Vitkevičienė A, Ramašauskaitė D, Navakauskienė R. Decidualization potency and epigenetic changes in human endometrial origin stem cells during propagation. Front Cell Dev Biol. 2021;9:765265. http://dx.doi.org/10.3389/fcell.2021.765265. PMid:34869358.
Mutsaers SE. The mesothelial cell. Int J Biochem Cell Biol. 2004;36(1):9-16. http://dx.doi.org/10.1016/S1357-2725(03)00242-5. PMid:14592528.
Turner S, Elston DM. Malignant melanoma. Medscape. 2002;98:50-2.
Gonzalez RS. Colon carcinoma signet ring cell carcinoma. PathologyOutlines.com; 2021. p. 1-4.
Kinra P, Sen A, Sharma J. Ectopic decidual reaction: a case report. Med J Armed Forces India. 2006;62(3):280-1. http://dx.doi.org/10.1016/S0377-1237(06)80022-5. PMid:27407910.
Ordóñez NG. Deciduoid mesothelioma: report of 21 cases with review of the literature. Mod Pathol. 2012;25(11):1481-95. http://dx.doi.org/10.1038/modpathol.2012.105. PMid:22684220.
Damsky WE Jr, Rosenbaum LE, Bosenberg M. Decoding melanoma metastasis. Cancers. 2010;3(1):126-63. http://dx.doi.org/10.3390/cancers3010126. PMid:24212610.
Mandzhieva B, Jalil A, Nadeem M, Hasan SA, Jain AG. Most common pathway of metastasis of rectal signet ring cell carcinoma to the skin: hematogenous. Cureus. 2020;12(2):e6890. http://dx.doi.org/10.7759/cureus.6890. PMid:32190453.
Karst EP, von Oiste DD. Mesothelioma cancer rates in men vs women. Mesothelioma (2020 apr. 21): 1-8.
Wyant T, Alteri R, Kalidas M, Ogoro C, Lubejko B, Eidsmoe K. Key statistics for melanoma skin cancer. Kennesaw: American Cancer Society; 2022. p. 2-3 [cited 2022 Mar 11]. Available from: https://www.cancer.org/%0Acancer/melanoma-skin-cancer/about/key-statistics.html
Wu J, Fang D, Man D, et al. Clinical correlates and prognostic value of different metastatic sites in gastric and colorectal signet ring cell carcinoma. Engineering. 2020;6(9):1028-34. http://dx.doi.org/10.1016/j.eng.2020.06.007.
Santos C, Gamboa F, Fradinho F, Pêgo A, Carvalho L, Bernardo J. Mesotelioma deciduóide pleural: uma entidade rara numa mulher jovem. Rev Port Pneumol. 2012;18(6):294-8. http://dx.doi.org/10.1016/j.rppneu.2012.02.004. PMid:22424699.
Franko J, Le VH, Tee MC, et al. Signet ring cell carcinoma of the gastrointestinal tract: national trends on treatment effects and prognostic outcomes. Cancer Treat Res Commun. 2021;29:100475. http://dx.doi.org/10.1016/j.ctarc.2021.100475. PMid:34655861.
Sorokin P, Nikiforchin A, Panin A, Zhukov A, Gushchin V, Kurtser M. Diffuse ectopic deciduosis imitating peritoneal carcinomatosis with acute abdomen presentation: a case report and literature review. Case Rep Obstet Gynecol. 2020;2020:8847082. http://dx.doi.org/10.1155/2020/8847082. PMid:33062356.
Murray CA, Leong WL, McCready DR, Ghazarian DM. Histopathological patterns of melanoma metastases in sentinel lymph nodes. J Clin Pathol. 2004;57(1):64-7. http://dx.doi.org/10.1136/jcp.57.1.64. PMid:14693838.
Fortarezza F, Della Barbera M, Pezzuto F, et al. Diagnostic challenges in epithelioid pleural mesothelioma: case series with support from electron microscopy. Diagnostics. 2021;11(5):1-7. http://dx.doi.org/10.3390/diagnostics11050841. PMid:34067170.
Fritschi L, Siemiatycki J. Melanoma and occupation: results of a case-control study. Occup Environ Med. 1996;53(3):168-73. http://dx.doi.org/10.1136/oem.53.3.168. PMid:8704857.
Peyneau M, Kavian N, Chouzenoux S, et al. Role of thyroid dysimmunity and thyroid hormones in endometriosis. Proc Natl Acad Sci USA. 2019;116(24):11894-9. http://dx.doi.org/10.1073/pnas.1820469116. PMid:31142643.
Aldahmash WM, Alwasel S, Aljerian K. Gestational diabetes mellitus induces placental vasculopathies. Environ Sci Pollut Res Int. 2022;29(13):19860-8. http://dx.doi.org/10.1007/s11356-021-17267-y. PMid:34725760.
Pellegrini A. Cutaneous decidualized endometriosis: a pseudomalignancy. Am J Dermatopathol. 1982;4(2):171-4. http://dx.doi.org/10.1097/00000372-198204000-00012. PMid:7103017.
Nogales FF, Martin F, Linares J, Naranjo R, Concha A. Myxoid change in decidualized scar endometriosis mimicking malignancy. J Cutan Pathol. 1993;20(1):87-91. http://dx.doi.org/10.1111/j.1600-0560.1993.tb01257.x. PMid:8468423.
Skidmore R, Woosley J, Katz V. Decidualized umbilical endometriosis. Int J Gynaecol Obstet. 1996;52(3):269-73. http://dx.doi.org/10.1016/0020-7292(95)02612-6. PMid:8775681.
El-Gohary Y, Garcia M, Ganjei-Azar P. Decidualized endometrioma diagnosed by fine needle aspiration cytology: a case report with immunocytochemical confirmation. Diagn Cytopathol. 2009;37(5):373-6. http://dx.doi.org/10.1002/dc.21029. PMid:19217047.
Val-Bernal J, Val D, Gómez-Aguado F, Corcuera M, Garijo M. Hypodermal decidualized endometrioma with aberrant cytokeratin expression: a lesion mimicking malignancy. Am J Dermatopathol. 2011;33(5):e58-62. http://dx.doi.org/10.1097/DAD.0b013e3181f704f6. PMid:21478729.
Natale KE, Royer MC, Rush WL, Lupton GP. Cutaneous deciduosis: a report of two cases of an unusual pseudomalignancy. J Cutan Pathol. 2012;39(8):777-80. http://dx.doi.org/10.1111/j.1600-0560.2012.01907.x. PMid:22765523.
Saeed A, Mushtaq H, Kafeel S. Deciduosis in a cesarean scar. J Islam Med Dent Coll. 2013;2(1):32-4.
Lingegowda J, Muddegowda P, Koteswary P, Thamilselvi R. Scar endometriosis with decidual change. Natl J Basic Med Sci. 2016;7(1):52-4.
Kilitçi A, Yılmaz F, Karataş A. Ectopic decidua in the adipose tissue of the abdominal wall. Med Sci. 2018;7312:91-4. http://dx.doi.org/10.12739/NWSA.2018.13.4.1B0055.
Maggiore ULR, Ferrero S, Mangili G, et al. A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes. Hum Reprod Update. 2016;22(1):70-103. http://dx.doi.org/10.1093/humupd/dmv045. PMid:26450609.
Sholapurkar SL, Sharp NC, Hirschowitz L. Life-threatening uterine haemorrhage six weeks after Cesarean section due to uterine scar endometriosis: case report and review of literature. Aust N Z J Obstet Gynaecol. 2005;45(3):256-8. http://dx.doi.org/10.1111/j.1479-828X.2005.00401.x. PMid:15904459.
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