Spinal intradural müllerianosis: a case report
V. Barresi1,2, S. Cerasoli2, E. Vitarelli1 and R. Donati3
1Department of Human Pathology, University of Messina, Italy, 2Unit of Human Pathology, M. Bufalini Hospital, Cesena, Italy and 3Unit of Neurosurgery, M. Bufalini Hospital, Cesena, Italy
Offprint requests to: Dr.ssa Valeria Barresi, Dipartimento di Patologia Umana, Policlinico Universitario G. Martino, Pad. D, Via Consolare Valeria, 98125 Messina, e-mail: valeriabarresi@hotmail.com
Summary. 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. Histol Histopathol 21, 1111-1114 (2006)
Key words: Müllerianosis, Spinal cord, Endometriosis
DOI: 10.14670/HH-21.1111