True osseous metaplasia of the endometrium: the bone is not from a fetus

Fertil Steril. 2009 Apr;91(4):1293.e1-4. doi: 10.1016/j.fertnstert.2008.12.026. Epub 2009 Jan 30.

Abstract

Objective: To identify the origin of calcified tissue in endometrial ossification.

Design: DNA analyses from the ossified tissue and from the woman were studied to compare both genotypes.

Setting: University and general hospitals.

Patient(s): A 27-year-old infertile woman diagnosed of osseous metaplasia of the endometrium.

Intervention(s): Hysteroscopic resection of the endometrial osseous metaplasia for DNA analysis.

Main outcome measure(s): DNA comparison between the patient and the osseous tissue extracted from the uterus.

Result(s): All markers produced the same allele length for both blood and endometrial biopsy (including bones), thus confirming the same genetic origin.

Conclusion(s): Endometrial ossification is derived from the patient, resulting in a true osseous metaplasia.

Publication types

  • Case Reports

MeSH terms

  • Abortion, Induced / adverse effects
  • Adult
  • Bone and Bones / metabolism
  • Bone and Bones / pathology*
  • Diagnosis, Differential
  • Endometrium / pathology*
  • Female
  • Fetus / metabolism
  • Fetus / pathology*
  • Genotype
  • Humans
  • Infertility, Female / diagnosis
  • Infertility, Female / etiology
  • Metaplasia / diagnosis
  • Metaplasia / genetics
  • Ossification, Heterotopic / diagnosis*
  • Ossification, Heterotopic / genetics