Benign glandular inclusions in para-aortic lymph nodes in women undergoing lymphadenectomies

Am J Obstet Gynecol. 1978 Apr 1;130(7):813-6. doi: 10.1016/0002-9378(78)90014-5.


Benign glandular inclusions in para-aortic lymph nodes are a relatively common occurrence. The chance of finding these benign glandular inclusions in the para-aortic lymph nodes is dependent on the intensity with which one searches. In our series of 106 para-aortic lymphadenectomies performed on patients with gynecologic malignancies, there were five patients in whom these benign Müllerian rests were found. Other series report up to a 40.8 per cent incidence of benign inclusions in nodes of patients with cervical cancer. They may have been either congenital or acquired. It is critical that these Müllerian tissues are not confused with metastatic disease. The significance of these benign glandular inclusions is discussed.

MeSH terms

  • Adenocarcinoma / pathology
  • Adult
  • Aged
  • Diagnosis, Differential
  • False Positive Reactions
  • Female
  • Genital Neoplasms, Female / pathology
  • Humans
  • Lymph Node Excision*
  • Lymph Nodes / pathology*
  • Lymphatic Diseases / diagnosis
  • Lymphatic Diseases / epidemiology
  • Lymphatic Diseases / pathology
  • Lymphatic Metastasis
  • Middle Aged
  • Mullerian Ducts / pathology
  • Neoplasm Metastasis