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This document provides a review of diagnostic problems and unusual features in the pathology of endometriosis. It discusses how alterations to the typical glandular and stromal components, as well as other findings like cytologic atypia, hyperplasia, and tumor-like growths can complicate diagnosis. It also describes unusual locations for endometriosis and reactive changes that can occur nearby, as well as how recognizing endometriosis is important for explaining other pathological findings and distinguishing primary from metastatic tumors. The goal is to increase awareness of diagnostic pitfalls to avoid under-diagnosis or misdiagnosis of this common disease.



















