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Gynecol Oncol. 1992 Oct;47(1):71-5.

Endometrioid carcinoma of the ovary and endometriosis: the association in postmenopausal women.

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  • 1Department of Obstetrics and Gynecology, University of Kentucky Medical Center, Lexington 40536.


Histologic material from 42 patients with endometrioid carcinomas of the ovary was reviewed. Ovarian endometriosis was present in 11 cases (26%) and 8 of these patients were postmenopausal. The exact site of transition from benign to malignant epithelium was observed in 4 cases. The clinical characteristics of patients with associated endometriosis were not significantly different from those without this finding except that endometriosis was present only in patients with Grade 1 or Grade 2 carcinomas. These data suggest that ovarian endometriosis in the postmenopausal patient has the potential to undergo malignant transformation and, when detected, should be removed surgically.

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