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Encyclopedia of Pathology pp 1–2Cite as

Endocervicosis

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Part of the book series: Encyclopedia of Pathology ((EP))

Synonyms

Mucinous analogue of endometriosis; Müllerian tumor-like glandular lesion

Definition

Lesion with endocervical-type mucinous epithelium involving the wall of the urinary bladder.

Clinical Features

  • Incidence

    Uncommon.

  • Age

    Reproductive age.

  • Sex

    Female.

  • Site

    Bladder posterior wall or posterior dome.

  • Treatment

    Partial cystectomy may be required.

Macroscopy

2–5 cm mass of the bladder wall.

Microscopy

Benign appearing or slightly atypical endocervical-type mucinous glands irregularly disposed in an extensively involved bladder wall. Some endocervical-type glands are cystically dilated. Peri-glandular fibrosis and edema may be present in some cases, and extravasated mucin may be in association with ruptured glands. The glands in endocervicosis are typically lined by cuboidal or flattened cells with eosinophilic cytoplasm (Fig. 1). One case showed extravesical pelvic soft tissue involvement (Young and Clement 1992).

Fig. 1
figure 1

Endocervicosis: endocervical-type epithelium

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References and Further Reading

  • Nakaguro, M., Tsuzuki, T., Shimada, S., et al. (2016). Adenocarcinoma arising in urinary bladder endocervicosis. Pathology International, 66, 108–113.

    Article  Google Scholar 

  • Young, R. H., & Clement, P. B. (1992). Endocervicosis of the urinary bladder. A report of six cases of a benign mullerian lesion that may mimic adenocarcinoma. The American Journal of Surgical Pathology, 216, 533–542.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Histopathology and Molecular Diagnostics, University Hospital Careggi, Florence, Italy

    Maria Rosaria Raspollini

  2. Pathology Service, Champalimaud Clinical Center, Lisbon, Portugal

    Antonio Lopez-Beltran

  3. Unit of Anatomic Pathology, Department of Surgery, Cordoba University Medical School, Cordoba, Spain

    Antonio Lopez-Beltran

Authors
  1. Maria Rosaria Raspollini
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  2. Antonio Lopez-Beltran
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Corresponding author

Correspondence to Maria Rosaria Raspollini .

Editor information

Editors and Affiliations

  1. NIJMEGEN, The Netherlands

    J.H.J.M. van Krieken

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Raspollini, M.R., Lopez-Beltran, A. (2019). Endocervicosis. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4807-1

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  • DOI: https://doi.org/10.1007/978-3-319-28845-1_4807-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28845-1

  • Online ISBN: 978-3-319-28845-1

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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