Postmenopausal Ureteral Endometriosis With Atypical Adenomatous Hyperplasia Following Hysterectomy, Bilateral Oophorectomy, and Long-Term Estrogen Therapy

Simultaneous External and Internal Endometriosis of the Ureter

“…internal, usually located in the lamina muscularis, and external, found in the periureteral tissue (5). In our case there was simultaneous internal and external ureteral endometriosis.…”

Ureteral endometriosis: clinicopathological and immunohistochemical study of 7 cases

“…Rare cases of ureteral endometriosis in postmenopausal women are reported, and in most of these women, there is a history of prolonged estrogen therapy or excessive production of estrogen by the adrenals or pituitary gland [9][10][11][12]. It has been proposed that delayed presentation of ureteral endometriosis associated with extensive renal scarring, with onset well IT IT IT IT IT IT IT IT IT IT before menopause, accounts for most cases of endometriosis in postmenopausal women [3].…”

“…Typically, a spectrum of morphologic changes is found in association with the malignant tumor, ranging from near normal glands to complex hyperplasia with atypia to frank malignancy [16]. Kapadia et al [9] reported a case of postmenopausal ureteral endometriosis with atypical adenomatous hyperplasia. The incidence of malignant transformation has been documented in 0.3% to 0.8% of patients with ovarian endometriosis, whereas its occurrence in ureteral endometriosis is rare [16][17][18].…”

Vaginal vault endometriosisde novo, associated with hormone replacement therapy

“…Recurrence of thoracic endometriosis after surgical menopause has been reported by Joseph, Reed and Sahn (1994). Similarly, Kapadia et al (1984) have cited a case that presented initially with gross haematuria several years after TAH and BSO as a treatment for endometriosis. A provisional diagnosis of primary ureteral malignancy was made; she had a left nephroureterectomy, which on histology proved to be endometriosis with atypical adenomatous hyperplasia.…”