{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T05:09:07Z","timestamp":1787893747184,"version":"build-2784847793"},"reference-count":116,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Pathol"],"accepted":{"date-parts":[[2010,11,12]]},"published-print":{"date-parts":[[2011,2]]},"abstract":"<jats:p>\n                    Endometrial metaplasias and changes (EMCs) are conditions frequently overlooked and misdiagnosed. The aim of this review is to update current issues and provide a classification with a practical clinicopathological approach. Hormonal or irritative stimuli are the main inducing factors of EMCs, although some metaplasias have a mutational origin. EMCs vary from reactive, degenerative lesions to those able to associate with malignancy or those having a preneoplastic potential. The most common types of EMCs are ciliated tubal metaplasia (CTM) and mucinous metaplasia (MM), which occur in simple and complex glands, and possibly these architectural changes hold the same prognostic significance as they do in hyperplastic endometrioid lesions. Immunohistochemically, CTM is positive for LhS28, bcl-2, PAX2 and p16\n                    <jats:sup>INK4A<\/jats:sup>\n                    . Complex CTM is likely to be a precursor of ciliated endometrioid-type carcinomas. MMs should be evaluated architecturally, taking into account that their atypicality is minimal. The differentiation between complex MM and mucinous carcinoma may be extremely difficult. Surface complex, papillary MM in endometrial polyps can be considered as benign. Intestinal-type endometrial MM is rare and its presence should prompt further investigation of associated lesions in the endocervix. Endometrial squamous metaplasia (ESS) is often linked to chronic irritative situations. It should be differentiated from secondary involvement by a human papilomavirus-related cervical lesion. Morular metaplasia is a mutational phenomenon with a distinct phenotype that helps to differentiate it from ESS. Morules are benign, hormonally inert structures that are often markers of complex endometrioid glandular architecture, and they are associated with an attenuated malignancy. Endometrial reactive changes are commonly associated with desquamation or hormonal imbalance. The frequent, p16\n                    <jats:sup>INK4A<\/jats:sup>\n                    positive, benign surface papillary syncytial change may be misdiagnosed, in some cases, as surface serous adenocarcinoma. Eosinophilic, oxyphilic, oncocytic and clear cell changes are non-specific. Rare stromal metaplasias have little clinical significance and should be differentiated from implanted fetal or embryonal tissues.\n                  <\/jats:p>","DOI":"10.1136\/jcp.2010.085555","type":"journal-article","created":{"date-parts":[[2010,12,2]],"date-time":"2010-12-02T20:29:09Z","timestamp":1291321749000},"page":"97-106","source":"Crossref","is-referenced-by-count":85,"title":["Endometrial metaplasias and reactive changes: a spectrum of altered differentiation"],"prefix":"10.1136","volume":"64","author":[{"given":"Alina","family":"Nicolae","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ovidiu","family":"Preda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco F","family":"Nogales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2010,12,1]]},"reference":[{"key":"2025120520083937000_64.2.97.1","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1097\/00000478-198012000-00004","article-title":"Endometrial epithelial metaplasias: proliferations frequently misdiagnosed as adenocarcinoma. Report of 89 cases and proposed classification","volume":"4","author":"Hendrickson","year":"1980","journal-title":"Am J Surg Pathol"},{"key":"2025120520083937000_64.2.97.2","doi-asserted-by":"publisher","DOI":"10.1097\/00004347-199401000-00009"},{"key":"2025120520083937000_64.2.97.3","doi-asserted-by":"publisher","DOI":"10.1095\/biolreprod.103.024109"},{"key":"2025120520083937000_64.2.97.4","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dem265"},{"key":"2025120520083937000_64.2.97.5","doi-asserted-by":"publisher","DOI":"10.1530\/REP-07-0428"},{"key":"2025120520083937000_64.2.97.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2007.08.005"},{"key":"2025120520083937000_64.2.97.7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.1.81"},{"key":"2025120520083937000_64.2.97.8","doi-asserted-by":"publisher","DOI":"10.1530\/REP-09-0438"},{"key":"2025120520083937000_64.2.97.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2008.03104.x"},{"key":"2025120520083937000_64.2.97.10","doi-asserted-by":"publisher","DOI":"10.1177\/1066896906299120"},{"key":"2025120520083937000_64.2.97.11","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2008.19"},{"key":"2025120520083937000_64.2.97.12","first-page":"784","article-title":"Epithelial metaplastic changes in ovarian endometriosis","volume":"11","author":"Fukunaga","year":"1998","journal-title":"Mod Pathol"},{"key":"2025120520083937000_64.2.97.13","doi-asserted-by":"publisher","DOI":"10.1097\/PAP.0b013e3180ca7d7b"},{"key":"2025120520083937000_64.2.97.14","doi-asserted-by":"publisher","DOI":"10.1097\/PAP.0b013e3181cfe732"},{"key":"2025120520083937000_64.2.97.15","doi-asserted-by":"publisher","DOI":"10.1002\/ar.1091520102"},{"issue":"3 Suppl","key":"2025120520083937000_64.2.97.16","doi-asserted-by":"crossref","first-page":"90S","DOI":"10.1097\/00006250-198409001-00023","article-title":"Papillary metaplasia of the endometrium: clinical and histopathologic considerations","volume":"64","author":"Rorat","year":"1984","journal-title":"Obstet Gynecol"},{"key":"2025120520083937000_64.2.97.17","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/S0002-9378(87)80013-3","article-title":"Endometrial metaplasia associated with endometrial adenocarcinoma","volume":"157","author":"Andersen","year":"1987","journal-title":"Am J Obstet Gynecol"},{"key":"2025120520083937000_64.2.97.18","first-page":"812","article-title":"Endometrial metaplasia associated with endometrial carcinoma","volume":"80","author":"Kaku","year":"1992","journal-title":"Obstet Gynecol"},{"key":"2025120520083937000_64.2.97.19","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1097\/00004347-199310000-00003","article-title":"Association of endometrial epithelial metaplasias with endometrial carcinoma and hyperplasia in Japanese and American women","volume":"12","author":"Kaku","year":"1993","journal-title":"Int J Gynecol Pathol"},{"key":"2025120520083937000_64.2.97.20","first-page":"71","article-title":"Clinicopathologic analysis: relationship between endometrial carcinoma and uninvolved endometrium","volume":"30","author":"Dane","year":"2009","journal-title":"Eur J Gynaecol Oncol"},{"key":"2025120520083937000_64.2.97.21","doi-asserted-by":"publisher","DOI":"10.1002\/path.856"},{"key":"2025120520083937000_64.2.97.22","doi-asserted-by":"publisher","DOI":"10.1097\/01.pas.0000171001.87599.e2"},{"key":"2025120520083937000_64.2.97.23","doi-asserted-by":"publisher","DOI":"10.1158\/1078-0432.CCR-06-0398"},{"key":"2025120520083937000_64.2.97.24","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2559.2002.01465.x"},{"key":"2025120520083937000_64.2.97.25","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2009.178"},{"key":"2025120520083937000_64.2.97.26","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1111\/j.1471-0528.1967.tb03941.x","article-title":"Tubal metaplasia of the endometrium","volume":"74","author":"Fruin","year":"1967","journal-title":"J Obstet Gynaecol Br Commonw"},{"key":"2025120520083937000_64.2.97.27","doi-asserted-by":"publisher","DOI":"10.1097\/00004347-198301000-00001"},{"key":"2025120520083937000_64.2.97.28","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2559.1999.00684.x"},{"key":"2025120520083937000_64.2.97.29","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.3800412"},{"key":"2025120520083937000_64.2.97.30","unstructured":"Crum CP Nucci MR Mutter GL . Altered endometrial differentiation (metaplasia). In: Crum CP Lee KR , eds. Diagnostic Gynecologic and Obstetric Pathology. Philadelphia: Saunders, 2006:520\u201344."},{"key":"2025120520083937000_64.2.97.31","doi-asserted-by":"publisher","DOI":"10.1023\/A:1003470113851"},{"key":"2025120520083937000_64.2.97.32","first-page":"37","article-title":"p16 is consistently expressed in endometrial tubal metaplasia","volume":"29","author":"Horree","year":"2007","journal-title":"Cell Oncol"},{"key":"2025120520083937000_64.2.97.33","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2559.2001.1163c.x"},{"key":"2025120520083937000_64.2.97.34","doi-asserted-by":"publisher","DOI":"10.3109\/00016348509155168"},{"key":"2025120520083937000_64.2.97.35","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1136\/jcp.2004.019521","article-title":"Ciliated cell variant of endometrioid adenocarcinoma: a rare tumour","volume":"57","author":"Low","year":"2004","journal-title":"J Clin Pathol"},{"key":"2025120520083937000_64.2.97.36","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-199902000-00005"},{"key":"2025120520083937000_64.2.97.37","first-page":"1137","article-title":"Mucinous endometrial epithelial proliferations: a morphologic spectrum of changes with diverse clinical significance","volume":"12","author":"Nucci","year":"1999","journal-title":"Mod Pathol"},{"key":"2025120520083937000_64.2.97.38","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1097\/00004347-199810000-00003","article-title":"Endometrial polyps: a comparison study of patients receiving tamoxifen with two control groups","volume":"17","author":"Schlesinger","year":"1998","journal-title":"Int J Gynecol Pathol"},{"key":"2025120520083937000_64.2.97.39","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2000.5859"},{"key":"2025120520083937000_64.2.97.40","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1016\/0002-9378(79)90959-1","article-title":"Benign obstructive myxometra: report of a case","volume":"134","author":"Honor\u00e9","year":"1979","journal-title":"Am J Obstet Gynecol"},{"key":"2025120520083937000_64.2.97.41","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2008.03202.x"},{"key":"2025120520083937000_64.2.97.42","doi-asserted-by":"publisher","DOI":"10.1177\/106689690301100403"},{"key":"2025120520083937000_64.2.97.43","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1438.2007.00939.x"},{"key":"2025120520083937000_64.2.97.44","first-page":"1917","article-title":"Uteri of women with endometrial carcinoma contain a histopathological spectrum of monoclonal putative precancers, some with microsatellite instability","volume":"56","author":"Jovanovic","year":"1996","journal-title":"Cancer Res"},{"key":"2025120520083937000_64.2.97.45","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2003.10.005"},{"key":"2025120520083937000_64.2.97.46","doi-asserted-by":"publisher","DOI":"10.1097\/PAP.0b013e3181919e15"},{"key":"2025120520083937000_64.2.97.47","doi-asserted-by":"crossref","first-page":"1510","DOI":"10.5858\/2006-130-1510-MEIBAN","article-title":"Mucinous expression in benign and neoplastic glandular lesions of the uterine cervix","volume":"130","author":"Baker","year":"2006","journal-title":"Arch Pathol Lab Med"},{"key":"2025120520083937000_64.2.97.48","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-200111000-00001"},{"key":"2025120520083937000_64.2.97.49","doi-asserted-by":"publisher","DOI":"10.1097\/01.PGP.0000071043.12278.8D"},{"key":"2025120520083937000_64.2.97.50","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1097\/00004347-199701000-00009","article-title":"Microglandular adenocarcinoma of the endometrium: a form of mucinous adenocarcinoma that may be confused with microglandular hyperplasia of the cervix","volume":"16","author":"Zaloudek","year":"1997","journal-title":"Int J Gynecol Pathol"},{"key":"2025120520083937000_64.2.97.51","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.1989.tb01598.x"},{"key":"2025120520083937000_64.2.97.52","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.1984.tb02367.x"},{"key":"2025120520083937000_64.2.97.53","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.2004.017996"},{"key":"2025120520083937000_64.2.97.54","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.2005.026237"},{"key":"2025120520083937000_64.2.97.55","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1097\/00007611-198205000-00022","article-title":"Extensive squamous metaplasia of the endometrium (ichthyosis uteri)","volume":"75","author":"Brown","year":"1982","journal-title":"South Med J"},{"key":"2025120520083937000_64.2.97.56","doi-asserted-by":"publisher","DOI":"10.1159\/000267539"},{"key":"2025120520083937000_64.2.97.57","unstructured":"Buckley CH . Normal endometrium and non-proliferative conditions of the endometrium. In: Fox H Wells M , eds. Haines and Taylor obstetrical and gynecological pathology. 5th edn. London: Churchill Livingstone, 2003:391\u2013441."},{"key":"2025120520083937000_64.2.97.58","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2008.03083.x"},{"key":"2025120520083937000_64.2.97.59","first-page":"569","article-title":"Cytologic and histologic findings in women using an IUD","volume":"58","author":"Risse","year":"1981","journal-title":"Obstet Gynecol"},{"key":"2025120520083937000_64.2.97.60","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60107-7"},{"key":"2025120520083937000_64.2.97.61","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-196702000-00008"},{"key":"2025120520083937000_64.2.97.62","first-page":"458","article-title":"Endometrial squamous metaplasia. An unusual response to progestin therapy of hyperplasia","volume":"119","author":"Miranda","year":"1995","journal-title":"Arch Pathol Lab Med"},{"key":"2025120520083937000_64.2.97.63","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0b013e31802d68ce"},{"key":"2025120520083937000_64.2.97.64","doi-asserted-by":"publisher","DOI":"10.1186\/1746-1596-3-4"},{"key":"2025120520083937000_64.2.97.65","doi-asserted-by":"publisher","DOI":"10.1159\/000292426"},{"key":"2025120520083937000_64.2.97.66","first-page":"35","article-title":"Cervical verrucous carcinoma involving endometrium. Case report","volume":"20","author":"Szczepulska","year":"1999","journal-title":"Eur J Gynaecol Oncol"},{"key":"2025120520083937000_64.2.97.67","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19820615)49:12<2547::AID-CNCR2820491224>3.0.CO;2-0"},{"key":"2025120520083937000_64.2.97.68","unstructured":"Silverberg SG Kurman RJ . Tumors of the uterine corpus and gestational trophoblastic disease. In: Atlas of Tumor Pathology, Third series. Washington, D.C.: Armed Forces Institute of Pathology, 1992:200\u20134."},{"key":"2025120520083937000_64.2.97.69","doi-asserted-by":"crossref","unstructured":"Mayer RH . Die Pathologische Anatomie der Geb\u00e4rmutter. In: Henke F Lubarsch O , eds. Handbuch der Speziellen Pathologischen Anatomie und Histologie. Berlin: Julius Springer, 1930:178\u201381.","DOI":"10.1007\/978-3-7091-5386-4_1"},{"key":"2025120520083937000_64.2.97.70","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1093\/ajcp\/31.1.60","article-title":"Intraglandular morules of the endometrium","volume":"31","author":"Dutra","year":"1959","journal-title":"Am J Clin Pathol"},{"key":"2025120520083937000_64.2.97.71","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2007.02911.x"},{"key":"2025120520083937000_64.2.97.72","doi-asserted-by":"publisher","DOI":"10.1007\/s004280000371"},{"key":"2025120520083937000_64.2.97.73","doi-asserted-by":"publisher","DOI":"10.1002\/path.1540"},{"key":"2025120520083937000_64.2.97.74","doi-asserted-by":"crossref","first-page":"1739","DOI":"10.1016\/S0002-9440(10)63732-7","article-title":"Beta-catenin simultaneously induces activation of the p53-p21WAF1 pathway and overexpression of cyclin D1 during squamous differentiation of endometrial carcinoma cells","volume":"164","author":"Saegusa","year":"2004","journal-title":"Am J Pathol"},{"key":"2025120520083937000_64.2.97.75","doi-asserted-by":"publisher","DOI":"10.1016\/j.humpath.2004.03.018"},{"key":"2025120520083937000_64.2.97.76","doi-asserted-by":"publisher","DOI":"10.1093\/carcin\/bgm105"},{"key":"2025120520083937000_64.2.97.77","doi-asserted-by":"publisher","DOI":"10.1016\/j.humpath.2007.07.019"},{"key":"2025120520083937000_64.2.97.78","doi-asserted-by":"publisher","DOI":"10.1097\/01.MP.0000092953.20717.48"},{"key":"2025120520083937000_64.2.97.79","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2008.146"},{"key":"2025120520083937000_64.2.97.80","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.3880575"},{"key":"2025120520083937000_64.2.97.81","doi-asserted-by":"publisher","DOI":"10.1159\/000089421"},{"key":"2025120520083937000_64.2.97.82","doi-asserted-by":"publisher","DOI":"10.1097\/01.pas.0000149704.89463.05"},{"key":"2025120520083937000_64.2.97.83","unstructured":"Abell MR . Endometrial biopsy: normal and abnormal diagnostic characteristics. In: Gold JJ , ed. Gynecologic Endocrinology. New York: Harper and Row, 1975:156\u201390."},{"key":"2025120520083937000_64.2.97.84","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1093\/ajcp\/99.6.741","article-title":"Endometrial papillary syncytial change: a nonspecific alteration associated with active breakdown","volume":"99","author":"Zaman","year":"1993","journal-title":"Am J Clin Pathol"},{"key":"2025120520083937000_64.2.97.85","doi-asserted-by":"publisher","DOI":"10.1097\/PGP.0b013e31817323b3"},{"key":"2025120520083937000_64.2.97.86","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/00004347-199507000-00001","article-title":"Surface epithelial changes in endometrial adenocarcinoma: diagnostic pitfalls in curettage specimens","volume":"14","author":"Jacques","year":"1995","journal-title":"Int J Gynecol Pathol"},{"key":"2025120520083937000_64.2.97.87","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1097\/00006250-197803000-00001","article-title":"The normal menstrual cycle. Chronology and mechanism of endometrial desquamation","volume":"51","author":"Nogales-Ortiz","year":"1978","journal-title":"Obstet Gynecol"},{"key":"2025120520083937000_64.2.97.88","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1093\/ajcp\/99.6.656","article-title":"Endometrial papillary syncytial change. Another perspective","volume":"99","author":"Gersell","year":"1993","journal-title":"Am J Clin Pathol"},{"key":"2025120520083937000_64.2.97.89","unstructured":"Nicolae A Preda O Aneiros-Fern\u00e1ndez J . p16INK4A positivity identifies endometrial surface papillary syncytial change as a regressive feature associated with desquamation. Histopathology (in press)."},{"key":"2025120520083937000_64.2.97.90","first-page":"751","article-title":"\u2018Minimal deviation\u2019 endometrioid carcinoma with oncocytic change of the endometrium","volume":"119","author":"Mai","year":"1995","journal-title":"Arch Pathol Lab Med"},{"key":"2025120520083937000_64.2.97.91","doi-asserted-by":"publisher","DOI":"10.1097\/00004347-199901000-00003"},{"key":"2025120520083937000_64.2.97.92","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-008-0783-4"},{"key":"2025120520083937000_64.2.97.93","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1097\/00004347-199410000-00002","article-title":"Endometrioid carcinoma of the ovary and endometrium, oxyphilic cell type: a report of nine cases","volume":"13","author":"Pitman","year":"1994","journal-title":"Int J Gynecol Pathol"},{"key":"2025120520083937000_64.2.97.94","doi-asserted-by":"publisher","DOI":"10.1097\/00125480-200405000-00001"},{"key":"2025120520083937000_64.2.97.95","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.2004.018283"},{"key":"2025120520083937000_64.2.97.96","doi-asserted-by":"publisher","DOI":"10.1097\/PGP.0b013e318178e566"},{"key":"2025120520083937000_64.2.97.97","doi-asserted-by":"publisher","DOI":"10.1016\/j.anndiagpath.2003.09.009"},{"key":"2025120520083937000_64.2.97.98","doi-asserted-by":"publisher","DOI":"10.3109\/00313029309066582"},{"key":"2025120520083937000_64.2.97.99","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5876-5-57"},{"key":"2025120520083937000_64.2.97.100","doi-asserted-by":"publisher","DOI":"10.1095\/biolreprod.108.075226"},{"key":"2025120520083937000_64.2.97.101","doi-asserted-by":"publisher","DOI":"10.1177\/1933719107306896"},{"key":"2025120520083937000_64.2.97.102","doi-asserted-by":"publisher","DOI":"10.1007\/s10517-008-0136-0"},{"key":"2025120520083937000_64.2.97.103","doi-asserted-by":"publisher","DOI":"10.1016\/j.humpath.2008.05.020"},{"key":"2025120520083937000_64.2.97.104","first-page":"636","article-title":"Osteoid tissue in utero. Report of 3 cases","volume":"24","author":"Courpas","year":"1964","journal-title":"Obstet Gynecol"},{"key":"2025120520083937000_64.2.97.105","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(01)01486-7"},{"key":"2025120520083937000_64.2.97.106","doi-asserted-by":"publisher","DOI":"10.1097\/00004347-198203000-00005"},{"key":"2025120520083937000_64.2.97.107","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1016\/j.fertnstert.2008.12.026","article-title":"True osseous metaplasia of the endometrium: the bone is not from a fetus","volume":"91","author":"Cayuela","year":"2009","journal-title":"Fertil Steril"},{"key":"2025120520083937000_64.2.97.108","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.1979.tb03015.x"},{"key":"2025120520083937000_64.2.97.109","doi-asserted-by":"crossref","first-page":"2013","DOI":"10.1016\/j.fertnstert.2008.01.001","article-title":"Endometrial osseous metaplasia: an evolving cause of secondary infertility","volume":"90","author":"Onderoglu","year":"2008","journal-title":"Fertil Steril"},{"key":"2025120520083937000_64.2.97.110","first-page":"877","article-title":"Endometrial osseous metaplasia mimicking retained intrauterine device: a case report","volume":"53","author":"Tsai","year":"2008","journal-title":"J Reprod Med"},{"key":"2025120520083937000_64.2.97.111","first-page":"838","article-title":"Heterotopic cartilage in the uterus","volume":"27","author":"Roth","year":"1966","journal-title":"Obstet Gynecol"},{"key":"2025120520083937000_64.2.97.112","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1999.5712"},{"key":"2025120520083937000_64.2.97.113","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.1992.tb00997.x"},{"key":"2025120520083937000_64.2.97.114","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2559.2000.00845.x"},{"key":"2025120520083937000_64.2.97.115","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1016\/j.fertnstert.2009.10.040","article-title":"Uterus-like mass in the left broad ligament misdiagnosed as a malformation of the uterus: A case report of a rare condition and review of the literature","volume":"93","author":"Liang","year":"2010","journal-title":"Fertil Steril"},{"key":"2025120520083937000_64.2.97.116","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2009.03234.x"}],"container-title":["Journal of Clinical Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jcp.2010.085555","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T04:08:55Z","timestamp":1764994135000},"score":1,"resource":{"primary":{"URL":"https:\/\/jcp.bmj.com\/lookup\/doi\/10.1136\/jcp.2010.085555"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,12,1]]},"references-count":116,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2011,1,24]]},"published-print":{"date-parts":[[2011,2]]}},"alternative-id":["10.1136\/jcp.2010.085555"],"URL":"https:\/\/doi.org\/10.1136\/jcp.2010.085555","relation":{},"ISSN":["0021-9746","1472-4146"],"issn-type":[{"value":"0021-9746","type":"print"},{"value":"1472-4146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,12,1]]}}}