Hepatic pedicle endometriosis: Case report and review of the literature
The localization of endometriotic disease in the hepatic pedicle has never been reported to date. We report the first case of a 67‐year‐old postmenopausal patient having presented an endometriotic lesion in the hepatic pedicle. A surgical biopsy was needed to confirm the diagnosis after a first radi...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2019-10, Vol.45 (10), p.2121-2127 |
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| container_title | The journal of obstetrics and gynaecology research |
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| creator | Eychenne, Camille Suc, Bertrand Delchier, Marie C. Vidal, Fabien Rimailho, Jacques Illac, Claire Breibach, Florence Vaysse, Charlotte Chantalat, Elodie |
| description | The localization of endometriotic disease in the hepatic pedicle has never been reported to date. We report the first case of a 67‐year‐old postmenopausal patient having presented an endometriotic lesion in the hepatic pedicle. A surgical biopsy was needed to confirm the diagnosis after a first radiologic biopsy that concluded the presence of a mucinous cystic tumor with low‐grade dysplasia. Medical treatment with aromatase inhibitors was carried out because of the inextirpable nature of the lesion. The diagnosis and therapeutic management of this rarely occurring lesion of atypical localization in a postmenopausal patient is presented here. A review of the literature on this localization could have led to a damaging surgical treatment due to the different diagnoses suggested. Management of endometriosis relies on a multidisciplinary approach that each practitioner must know how to broach with patients of all ages. |
| doi_str_mv | 10.1111/jog.14078 |
| format | Article |
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We report the first case of a 67‐year‐old postmenopausal patient having presented an endometriotic lesion in the hepatic pedicle. A surgical biopsy was needed to confirm the diagnosis after a first radiologic biopsy that concluded the presence of a mucinous cystic tumor with low‐grade dysplasia. Medical treatment with aromatase inhibitors was carried out because of the inextirpable nature of the lesion. The diagnosis and therapeutic management of this rarely occurring lesion of atypical localization in a postmenopausal patient is presented here. A review of the literature on this localization could have led to a damaging surgical treatment due to the different diagnoses suggested. 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We report the first case of a 67‐year‐old postmenopausal patient having presented an endometriotic lesion in the hepatic pedicle. A surgical biopsy was needed to confirm the diagnosis after a first radiologic biopsy that concluded the presence of a mucinous cystic tumor with low‐grade dysplasia. Medical treatment with aromatase inhibitors was carried out because of the inextirpable nature of the lesion. The diagnosis and therapeutic management of this rarely occurring lesion of atypical localization in a postmenopausal patient is presented here. A review of the literature on this localization could have led to a damaging surgical treatment due to the different diagnoses suggested. Management of endometriosis relies on a multidisciplinary approach that each practitioner must know how to broach with patients of all ages.</description><subject>Aged</subject><subject>Aromatase</subject><subject>aromatase inhibitors treatment</subject><subject>Biopsy</subject><subject>Case reports</subject><subject>Diagnosis</subject><subject>Dysplasia</subject><subject>Endometriosis</subject><subject>Endometriosis - diagnostic imaging</subject><subject>Endometriosis - pathology</subject><subject>extrapelvic endometriosis</subject><subject>Female</subject><subject>hepatic endometriosis</subject><subject>hepatic pedicle endometriosis</subject><subject>Humans</subject><subject>Lesions</subject><subject>Literature reviews</subject><subject>Liver - diagnostic imaging</subject><subject>Liver - pathology</subject><subject>Liver diseases</subject><subject>Liver Diseases - diagnostic imaging</subject><subject>Liver Diseases - pathology</subject><subject>Localization</subject><subject>Magnetic Resonance Imaging</subject><subject>Patients</subject><subject>Post-menopause</subject><subject>postmenopause endometriosis</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLFOwzAQhi0EoqUw8AIoEgsMaeM4ydlsqIIWVKkLzJETX4qrtA52QtW3x5DCgMQtd8N3351-Qi5pNKa-JmuzGtMkAn5EhjRJIIwgzY79zBIa8giyATlzbh1FFATlp2TAKMs4TWFIZnNsZKvLoEGlyxoD3CqzwdZq47S7C6bSYWCxMbYN5Fb58UPjLjBV0L5hUOsWrWw7i-fkpJK1w4tDH5HXx4eX6TxcLGdP0_tFWDIAHpYq5SpjBcO05ACJzBiVKQKnKhGUxaBQCA4MRRFnKS1oBVKASisFWEDB2Ijc9N7GmvcOXZtvtCuxruUWTefyOM68VmQQe_T6D7o2nd367zwlRJpEwp8ckdueKq1xzmKVN1ZvpN3nNMq_0vVbq_w7Xc9eHYxdsUH1S_7E6YFJD-x0jfv_TfnzctYrPwEDP4JT</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Eychenne, Camille</creator><creator>Suc, Bertrand</creator><creator>Delchier, Marie C.</creator><creator>Vidal, Fabien</creator><creator>Rimailho, Jacques</creator><creator>Illac, Claire</creator><creator>Breibach, Florence</creator><creator>Vaysse, Charlotte</creator><creator>Chantalat, Elodie</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201910</creationdate><title>Hepatic pedicle endometriosis: Case report and review of the literature</title><author>Eychenne, Camille ; 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We report the first case of a 67‐year‐old postmenopausal patient having presented an endometriotic lesion in the hepatic pedicle. A surgical biopsy was needed to confirm the diagnosis after a first radiologic biopsy that concluded the presence of a mucinous cystic tumor with low‐grade dysplasia. Medical treatment with aromatase inhibitors was carried out because of the inextirpable nature of the lesion. The diagnosis and therapeutic management of this rarely occurring lesion of atypical localization in a postmenopausal patient is presented here. A review of the literature on this localization could have led to a damaging surgical treatment due to the different diagnoses suggested. Management of endometriosis relies on a multidisciplinary approach that each practitioner must know how to broach with patients of all ages.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>31368157</pmid><doi>10.1111/jog.14078</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Aromatase aromatase inhibitors treatment Biopsy Case reports Diagnosis Dysplasia Endometriosis Endometriosis - diagnostic imaging Endometriosis - pathology extrapelvic endometriosis Female hepatic endometriosis hepatic pedicle endometriosis Humans Lesions Literature reviews Liver - diagnostic imaging Liver - pathology Liver diseases Liver Diseases - diagnostic imaging Liver Diseases - pathology Localization Magnetic Resonance Imaging Patients Post-menopause postmenopause endometriosis |
| title | Hepatic pedicle endometriosis: Case report and review of the literature |
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