Protopapas, A., Giannoulis, G., Chatzipapas, I., Athanasiou, S., Grigoriadis, T., Haidopoulos, D., Loutradis, D. and Antsaklis, A. (2014) Posterior Deep Infiltrating Endometriotic Nodules: Operative Considerations According to Lesion Size, Location, and Geometry, during One’s Learning Curve. ISRN Obstetrics and Gynecology, 20, 1-8. http://dx.doi.org/10.1155/2014/853902

has been cited by the following article:

• TITLE: Case Report: A Laparoscopic Treated Case of Deep Infiltrating Endometriosis with Vaginal Invasion Diagnosed by Vaginal Cytology

  AUTHORS: Kenji Niwa, Ryuichiro Yano, Yui Hatanaka, Sakae Mori, Yoshio Yamaguchi, Minako Mori, Yoko Ueda, Takuji Tanaka

  KEYWORDS: Vaginal Endometriosis, Cytology, Immunohistochemistry, Laparoscopic Surgery

  JOURNAL NAME: Open Journal of Pathology, Vol.5 No.3, July 9, 2015

  ABSTRACT: A recently observed case of deep infiltrating endometriosis with its vaginal invasion diagnosed by vaginal cytology is reported. A 28-year-old Japanese woman complained of a severe dysmenorrhea. Left ovarian endometriotic cyst and deep infiltrating endometriosis were suspected. Two red-spots were also present in the posterior fornix of vagina. Vaginal cytology withcytokeratin (CK) 7-immunocytochemistry suggested the presence of infiltrating endometriosis. She underwent left ovarian cystectomy and resection of thickened uterosacral ligaments with vaginal endometriotic spots, under a laparoscope, based on the diagnosis of endometriotic cyst. Histopathology revealed DIE with vaginal invasion. Immunostaining for CK7 was positive for endometriotic cyst, while CK20 was negative. The stromal cells in endometriosis were immunohistochemically positive for CD10. The vaginal fornix was well-healed one month later the surgery. Postoperatively, she got pregnant with her natural intercourse and delivered a healthy 2138 g girl at 36 weeks of gestation.