Message
Endometriosis does occur far beyond menopausal age, even
in senile patients in multiple foci and also in the absence of a uterus.
This case demonstrates and supports the metaplastic origin of endometriosis
as part of the secondary Muellerian system (Muellerian field effect). Under
appropriate endogenous or exogenous estrogenic stimulation foci of endometriosis
can be highly proliferative even in old age.
July 1998