Zhang DY, Peng C, Huang Y, Cao JC, Zhou YF. Rapidly growing extensive polypoid endometriosis after gonadotropin-releasing hormone agonist discontinuation: A case report. World J Clin Cases 2023; 11(27): 6631-6639 [PMID: 37900226 DOI: 10.12998/wjcc.v11.i27.6631]
Corresponding Author of This Article
Ying-Fang Zhou, PhD, Chief Doctor, Full Professor, Postdoctoral Fellow, Department of Obstetrics and Gynecology, Peking University First Hospital, No. 1 Xi'anmen Street, Xicheng District, Beijing, People’s Republic of China, Beijing 100034, China. zhouyf8853@163.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 26, 2023; 11(27): 6631-6639 Published online Sep 26, 2023. doi: 10.12998/wjcc.v11.i27.6631
Rapidly growing extensive polypoid endometriosis after gonadotropin-releasing hormone agonist discontinuation: A case report
De-Yu Zhang, Chao Peng, Yan Huang, Jia-Chen Cao, Ying-Fang Zhou
De-Yu Zhang, Chao Peng, Yan Huang, Ying-Fang Zhou, Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China
Jia-Chen Cao, Department of Pathology, Beijing Chao-yang Hospital, Capital Medical University, Beijing 100020, China
Author contributions: Zhou YF operated on the patient and designed the research; Zhang DY contributed in data collection, interpretation of data and manuscript writing/editing; Peng C and Huang Y participated in the operation of the patient and contributed in data collection; Cao JC made a pathological analysis of the patient; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ying-Fang Zhou, PhD, Chief Doctor, Full Professor, Postdoctoral Fellow, Department of Obstetrics and Gynecology, Peking University First Hospital, No. 1 Xi'anmen Street, Xicheng District, Beijing, People’s Republic of China, Beijing 100034, China. zhouyf8853@163.com
Received: July 2, 2023 Peer-review started: July 2, 2023 First decision: August 9, 2023 Revised: August 15, 2023 Accepted: August 23, 2023 Article in press: August 23, 2023 Published online: September 26, 2023 Processing time: 80 Days and 13.8 Hours
Abstract
BACKGROUND
Polypoid endometriosis (PEM) is a rare and unique type of endometriosis. To date, no article has provided a systematic report of this disease. The current article provides a complete report on rare PEM based on ultrasound, magnetic resonance imaging, intraoperative findings and postoperative pathology data.
CASE SUMMARY
A 38-year-old female patient was admitted to our hospital after complaining of “vague pain in the right lower quadrant with an aggravated menstrual period for 8 mo”. The patient underwent laparoscopic exploratory surgery on January 7, 2022. The postoperative pathology revealed extensive PEM.
CONCLUSION
PEM is a type of endometriosis that is a benign disease but has biological properties similar to malignant tumours.
Core Tip: Polypoid endometriosis (PEM) is a rare and unique type of endometriosis that is a benign disease but has biological properties similar to those of malignant tumours. We reported a case of rapidly growing PEM possibly attributed to the discontinuation of gonadotropin-releasing hormone agonist. We provide complete ultrasound findings, magnetic resonance imaging findings, intraoperative pictures and postoperative pathology data. We conducted a systematic review of the clinical features, imaging features, and pathology of PEM by reviewing the literature.
