CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2019; 02(01): 058-063
DOI: 10.1055/s-0039-1677773
Case Report
Indian Society of Gastrointestinal and Abdominal Radiology

Periureteric Mass in a Treated Case of Papillary Carcinoma of Thyroid: A Diagnostic Dilemma

Sushil Panbude
1  Department of Radiodiagnosis, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Archi Agrawal
2  Department of Nuclear Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Shubhada Kane
3  Department of Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Anil D'Cruz
4  Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Supreeta Arya
1  Department of Radiodiagnosis, Tata Memorial Hospital, Mumbai, Maharashtra, India
› Author Affiliations
Further Information

Publication History

Received: 02 September 2018

Accepted after revision: 28 October 2018

Publication Date:
24 June 2019 (online)

  

Abstract

Endometriosis is the presence of normal endometrial glands and stroma outside the endometrium, seen in women in the reproductive age group. Endometriosis is common in the pelvis in the pouch of Douglas, rectum, urinary bladder, and uterosacral ligaments. Although extrapelvic endometriosis is uncommon, endometriosis at extrapelvic sites such as the gastrointestinal tract, urinary tract, lung, skin, brain, and scar site has been reported and can mimic other benign and malignant lesions. It is a difficult diagnosis when patients have a preexisting neoplasm as metastasis can be a differential. The clinical history, imaging features, and a strong suspicion of this entity in the reproductive age group help accurate diagnosis of this entity. We present a rare case of deep pelvic (periureteral) endometriosis in a 41-year-old woman with history of papillary carcinoma of the thyroid gland causing diagnostic dilemma on imaging and histopathology and also discuss briefly the imaging findings of endometriosis.