Peritoneal and Nodal Gliomatosis with Endometriosis, Accompanied with Ovarian Immature Teratoma: A Case Study and Literature Review
김나래, 임소이, 정주현, 조현이,
소속 상세정보
김나래 ( Kim Na-Rae )
Gachon University Gil Medical Center Department of Pathology
임소이 ( Lim So-Yi )
Gachon University Gil Medical Center Department of Obstetrict and Gynecology
정주현 ( Jeong Ju-Hyeon )
Gachon University School of Medicine
조현이 ( Cho Hyun-Yee )
Gachon University Gil Medical Center Department of Pathology
KMID : 0357920130470060587
Abstract
Gliomatosis peritonei (GP) indicates the peritoneal implantation of mature neuroglial tissue and is usually accompanied by ovarian mature or immature teratoma. Here, we report a case of ovarian immature teratoma associated with gliomatosis involving the peritoneum, lymph nodes and Douglas’ pouch, where gliomatosis coexisted with endometriosis. As far as we know, only seven cases of GP have been reported as coexisting with endometriosis. Eight cases with mature glial tissue in the lymph nodes, i.e., nodal gliomatosis, have been published either in association with GP or in its absence. Metaplasia of pluripotent coelomic stem cells has been suggested to be responsible for the pathogenesis of endometriosis and GP rather than implantation metastases of ovarian teratomatous tumor with varying maturation. This theory is also applied to GP independently of ovarian teratomatous tumors. To the best of our knowledge, nodal gliomatosis coexisting with GP and also involving endometriosis has not yet been reported.
키워드
Gliomatosis peritonei; Endometriosis; Immature teratoma; Ovary; Lymph nodes
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