Fat necrosis of the abdominal pannus following caesarean section in patients with morbid obesity.

glandular lesions look like MDA, based not only on the chief clinical symptom (a large amount of a watery discharge), but also on the radiologic and histologic findings [4]. Most articles describing radiologic features of MDA were published in early 1990s, whereas LEGH was described in 1999. Therefore, a significant number of lesions reported as MDA might represent LEGH rather than true MDA. Because MDA has an extremely poor prognosis and the patient with MDA needs to undergo a radical hysterectomy, benign pseudoneoplastic glandular lesions should be differentiated from MDA, especially in young women to avoid unnecessary hysterectomies. LEGH, as one of the pseudoneoplastic glandular lesions, was first proposed by Nucci et al. in 1999 and characterized by prominent proliferation of endocervical glands with a lobular arrangement [5]. Nara et al. reported that surgical treatment should be considered for LEGH with a width 1.8 cm, even if malignant findings are not noted because LEGH may represent a pre-cancerous condition for Fig. 1. Radiologic, gross and histologic findings of lobular endocervical glandular hyp intensity (arrow), suggesting possible minimal deviation adenocarcinoma or other ps simple trachelectomy. (C) Microscopic findings of lobular endocervical glandular hyp endocervical glands without stromal reaction. H&E stain 10.