Scar Endometriosis: Wafaa Elatre, MD

  • 26 year old female
  • Presented with subcutaneous mass (3 x 2 cm) in the right lower abdomen at the edge of cesarean section scar.
  •  She reported cyclic symptoms of pain
  • The patient was then referred for fine needle aspiration cytology (FNAC

  • Cytology FNAC from the abdominal lump was carried out.

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The smears were cellular, consisting of epithelial and stromal fragments. The epithelial cell was arranged in monolayer sheets of polygonal cells with large, hyperchromatic nuclei and moderate amount of cytoplasm, with considerable nuclear overlapping. The stromal aggregates also showed crowded overlapping nuclei and scant admixed hemosiderin-laden macrophages; mild to moderate epithelial atypia was observed.