CYTOLOGICAL STUDY OF SCAR ENDOMETRIOSIS - A CLINICOPATHOLOGICAL STUDY OF 5 CASES WITH PRIMARY DIAGNOSIS BY FINE NEEDLE ASPIRATION CYTOLOGY WITH REVIEW OF LITERATURE

Endometriosis is defined as presence of functioning endometrial glands and stroma outside the uterine endometrial cavity 1-4. Endometrial tissue has been identified in numerous surgical scars including caesarian and laparoscopic scar 2-5,7. Objective: 1) To evaluate the cytomorphological features of scar endometriosis 2) To assess the feasibility of FNAC as a diagnostic tool Methods : We present the cytological features of abdominal wall endometriosis diagnosed by FNAC over a 5 year period (Jan 2009-Dec 2013) in department of pathology at Melmaruvathur Adhiparasakthi Medical college & research Institute ,Melmaruvathur. The patients age ranged from 23-35 yrs . 2 out of 5 had Lower segment Caesarian Section, 2 out of 5 had hysterectomy and 1 patient had laporoscopic appendicectomy. The mode of presentation was painful nodular swelling after a period of 2-5 Yrs. Results : Cytological findings comprised of epithelial clusters and spindle shaped stromal cells with numerous haemosiderin laden cyst macrophages . A diagnosis of endometriosis was made in all 5 cases and was confirmed by histopathology Conclusion : Scar endometriosis is extremely rare and has to be differentiated from a variety of benign and malignant disorders .FNAC is a simple and cost effective tool which provides rapid diagnosis thereby avoiding the need for other procedures.