{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T12:39:23Z","timestamp":1785760763558,"version":"3.56.0"},"reference-count":19,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"unspecified","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,2,24]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>A postmenopausal woman, in her 60s, married with no history of pregnancy, presented to our facility with an abdominal mass of 2 months duration that progressively increased in size. Physical examination revealed a mobile abdominal cystic mass measuring approximately 20\u00d720\u00d710\u2009cm, accompanied by ascites. Transvaginal ultrasonography showed a hypoechoic cystic mass measured &gt;14.6\u00d712.5\u2009x13.5\u00d711.49\u2009cm, with septa and papillary projections, and the Doppler colour score was +2, along with ascites. Based on the IOTA Simple Rules, this mass would be classified as malignant, because it meets the criteria for M2 (ascites) and M4 (irregular multilocular solid tumour \u2265100\u2009mm) features. Because malignancy was suspected, a total hysterectomy and bilateral salpingo-oophorectomy with a frozen section were performed. The frozen section and histopathological examination resulted in a right endometrioma. Postmenopausal endometriosis is rare, but clinicians should always be aware of its existence as it confers a risk of malignant transformation and recurrence. Comprehensive follow-up after surgery is recommended in such cases.<\/jats:p>","DOI":"10.1136\/bcr-2024-260892","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T09:40:31Z","timestamp":1741945231000},"page":"e260892","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Postmenopausal endometriosis"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4588-8018","authenticated-orcid":false,"given":"Kemala Isnainiasih","family":"Mantilidewi","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8714-774X","authenticated-orcid":false,"given":"Steven","family":"Ridwan","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0731-3512","authenticated-orcid":false,"given":"Andi","family":"Kurniadi","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6342-321X","authenticated-orcid":false,"given":"Ali Budi","family":"Harsono","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"2025082710454576000_18.3.e260892.1","doi-asserted-by":"publisher","DOI":"10.1007\/s13669-017-0187-1"},{"key":"2025082710454576000_18.3.e260892.2","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(80)90069-6"},{"key":"2025082710454576000_18.3.e260892.3","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.ejogrb.2004.04.028","article-title":"Vesical and vaginal recurrent endometriosis in postmenopause following estrogen replacement therapy","volume":"118","author":"Sesti","year":"2005","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082710454576000_18.3.e260892.4","doi-asserted-by":"crossref","DOI":"10.3390\/diagnostics10030134","article-title":"Endometriosis in Menopause-Renewed Attention on a Controversial Disease","volume":"10","author":"Secosan","year":"2020","journal-title":"Diagnostics (Basel)"},{"key":"2025082710454576000_18.3.e260892.5","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.408"},{"key":"2025082710454576000_18.3.e260892.6","doi-asserted-by":"crossref","first-page":"800","DOI":"10.5306\/wjco.v5.i5.800","article-title":"Endometriosis and ovarian cancer","volume":"5","author":"Kr\u00e1l\u00ed\u010dkov\u00e1","year":"2014","journal-title":"World J Clin Oncol"},{"key":"2025082710454576000_18.3.e260892.7","doi-asserted-by":"crossref","first-page":"151","DOI":"10.6118\/jmm.2013.19.3.151","article-title":"Endometriosis in a postmenopausal woman on hormonal replacement therapy","volume":"19","author":"Jeon","year":"2013","journal-title":"J Menopausal Med"},{"key":"2025082710454576000_18.3.e260892.8","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2017.1284781"},{"key":"2025082710454576000_18.3.e260892.9","unstructured":"Carpinello OJ , Sundheimer LW , Alford CE , et al . Endometriosis. In: Feingold KR , Anawalt B , Blackman MR , eds. Endotext. South Dartmouth (MA): MDText.com, Inc, 2000. 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