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Desidual cast: A case report [J Behcet Uz Child Hosp]
J Behcet Uz Child Hosp. 2016; 6(3): 234-236 | DOI: 10.5222/buchd.2016.234  

Desidual cast: A case report

Sümeyye Ekmekci1, Erdener Özer2
1Department Of Pathology, Tepecik Training And Research Hospital, Izmir, Turkey
2Department Of Pathology, Dokuz Eylul University, School Of Medicine, Izmir, Turkey

The decidual cast is endometrial tissue that spontaneously falls out from a the vagina with in the original shape of the endometrial cavity. There were about 20 cases in the current literature in pediatric age group.
Herein, we report a 13 year old girl presented with abdominal pain and vaginal bleeding. Physical examination and laboratory findings were normal. The histeroscopy revealed a 4 cm sized nodular mass on the anterior uterine wall. Histopathological evaluation revealed atrofic endometrial glands within dense supuration, necrosis and stromal decidualisation. The final pathologic diagnosis was desidual cast.
The decidual cast must be encountered in the differential diagnosis of intrauterin mass in children.

Keywords: decidual cast, intrauterin mass, adolescent tumors


Desidual cast: Bir olgu sunumu

Sümeyye Ekmekci1, Erdener Özer2
1Tepecik Eğitim Ve Araştırma Hastanesi, Patoloji Bölümü, İzmir
2Dokuz Eylül Üniversitesi Tıp Fakültesi, Patoloji AnaBilim Dalı, İzmir

Desidual cast kavitenin orijinal şeklini koruyarak vajenden kendiliğinden dökülen endometrial doku parçasıdır. Literatürde bugüne kadar bildirilen 20 kadar olgu vardır.
Abdominal ağrı ve vajinal kanama şikayeti bulunan 13 yaşında kız hastanın fizik muayene ve laboratuvar bulguları normaldir. Histeroskopide uterus ön duvarda 4 cm boyutta nodüler kitle saptanmıştır. Histopatolojik olarak yoğun süpürasyon içerisinde atrofik endometrial glandlar, nekroz ve stromada desidualizasyon gözlenmiştir. Olguya nihai olarak desidual cast tanısı verilmiştir.
Desidual cast çocuklarda görülen intrauterin kitlelerin ayırıcı tanısında akılda tutulmalıdır.

Anahtar Kelimeler: decidual cast, intrauterin kitle, adölesan tümörler


Sümeyye Ekmekci, Erdener Özer. Desidual cast: A case report. J Behcet Uz Child Hosp. 2016; 6(3): 234-236

Corresponding Author: Sümeyye Ekmekci, Türkiye


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