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Endometriosis of para-aortic node masquerading a malignancy: a rare occurrence
  1. Evangeline Christable1,
  2. Sathyanarayan Shivkumaran2,
  3. Balasubramanian Venkitaraman3 and
  4. Suhaildeen Kajamohideen3
  1. 1Obstetrics and Gynecology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamilnadu, India
  2. 2Department of Surgical Oncology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
  3. 3Department of Surgical Oncology, Sri Ramachandra Medical College and Research Institute, Chennai, India
  1. Correspondence to Dr Evangeline Christable; momakide98{at}


Endometriosis is a benign estrogen-dependent disorder affecting women in their reproductive age group. Endometriosis means ‘abnormal growth of endometrial glands’ outside the uterus. Multiple theories on aetiopathogenesis of endometriosis have been postulated, Halban’s theory on ‘Benign Metastasis’ which proposed the presence of endometriotic cells in lymphatic vessels and lymph nodes provides the basis of this case report. Here, we report a case of 26-year-old nulliparous woman who presented with grossly elevated CA 125 with endometriosis in her para-aortic nodes mimicking as ovarian cancer.

  • cancer - see oncology
  • obstetrics
  • gynaecology and fertility
  • reproductive medicine
  • gynecological cancer

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  • Contributors This case presented to the surgical oncology department of Sri Ramachandra Medical college. Evaluation, investigations and follow up of the case was done by SS, Jegadesh Bose, BV and SK. Preoperative analysis and fitness for surgery obtained. Surgery was done by Jegadesh bose and SS. Follow-up of histopathology reports and patient follow up was done by BV and SK.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.