Nodular and tumorlike XXXX peritonei with @entity46 caused by a mature @entity43 .

@entity1 @entity43 @entity2175 @entity5 @entity730 @entity46 @entity10053 @entity158 @entity298 @entity44
Peritoneal glial implants are found in childhood, adolescence as well as in young @entity1 and are the result of a ruptured capsule of mature or immature @entity43 . The implants of glia nodules have a distinct gross feature and are localized mostly in the parietal and visceral peritoneum, in the omentum and in the space of Douglas. According to the review by Robboy and Scully (1970), seventeen other cases have been reported. CASE REPORT: A ten year old @entity1 was operated on for a @entity44 of the right ovary. After an interval of 12-13 years, two laparotomies were performed because of recurring @entity158 , adhesions of the abdomen and the formation of @entity5 -shaped resistances. Biopsies from both operations taken from the peritoneum, omentum and space of Douglas yielded disseminated @entity10053 and @entity46 . The uniqueness of this case lies in the length of the interval of 12 years after the operation, the size of the @entity5 in the pelvis as well as its regressive changes. X-ray examination of this tissue revealed @entity730 . A partially infiltrative growth of the glial mass into fat tissue was determined despite the low grading of the implant. The size of the @entity5 -like infiltration can be understood as a result of growth and confluence of several nodes. As an expression of a local defense reaction, there was found at one location on the circumference of a glial node an intense lymphofollicular infiltration. The combination of @entity10053 and @entity46 has not been observed up until now. The formation of endometriod glands could be the result of a metaplasia of the subcoelomic mesenchyme. @entity298 can be considered to be implantation metastases of @entity43 with varying degrees of @entity2175 .
