Spinal intradural müllerianosis: a case report.
Müllerianosis is a term used to indicate lesions composed of an admixture of two or three types of müllerian-derivation glands in heterotopic sites. In this report we describe a case of spinal cord müllerianosis which occurred in a 42-year-old woman. The patient had suffered from catamenial lumbago and sciatica of three years duration before undergoing laminectomy of L2-L3 with excision of a polypoid mass that compressed nerve trunks. At histological examination, the lesion was composed of endocervical, endometrial and tubal glands within a smooth muscle nodule. These features were consistent with a diagnosis of müllerianosis. This is a very uncommon form of presentation of müllerianosis that must be correctly identified since patients can benefit from hormonal therapy.
Barresi
V
V
Department of Human Pathology, University of Messina, Italy. valeriabarresi@hotmail.com
Cerasoli
S
S
Vitarelli
E
E
Donati
R
R
D000328:Adult; D004715:Endometriosis / Q000175:diagnosis / Q000473:pathology*; D004806:Ependymoma / Q000175:diagnosis / Q000473:pathology*; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D018200:Mixed Tumor, Mullerian / Q000175:diagnosis / Q000473:pathology*; D009095:Mullerian Ducts / Q000473:pathology*; D013116:Spinal Cord / Q000473:pathology*