Cervical xanthogranuloma in a case of postmenopausal pyometra.

Autor: Singh A; Department of Obstetrics and Gynecology, University College of Medical Sciences and GTB Hospital, Delhi, India., Vats G; Department of Obstetrics and Gynecology, University College of Medical Sciences and GTB Hospital, Delhi, India., Radhika AG; Department of Obstetrics and Gynecology, University College of Medical Sciences and GTB Hospital, Delhi, India., Meena P; Department of Obstetrics and Gynecology, University College of Medical Sciences and GTB Hospital, Delhi, India., Radhakrisnan G; Department of Obstetrics and Gynecology, University College of Medical Sciences and GTB Hospital, Delhi, India.
Jazyk: angličtina
Zdroj: Obstetrics & gynecology science [Obstet Gynecol Sci] 2016 Sep; Vol. 59 (5), pp. 411-4. Date of Electronic Publication: 2016 Sep 13.
DOI: 10.5468/ogs.2016.59.5.411
Abstrakt: Xanthogranuloma is a non-neoplastic presentation of chronic inflammation commonly seen in gallbladder, kidney and rarely seen in genital organs. Only one case has been reported in cervix. Here, we report a case of 60-year-old postmenopausal lady who presented with history of fever and purulent discharge per-vaginum. On speculum examination, cervix had an ulcer extending from 3 to 5 o'clock position. Uterus was bulky. On probing the ulcer, a 1-cm deep sinus was identified. Ultrasound showed enlarged uterus and fluid collection suggestive of pyometra. Pyometra was drained and cervical biopsy was taken from the ulcerated lesion; histopathology revealed granulomatous inflammation with predominantly xanthous cells suggestive of tuberculosis. High index of clinical suspicion needs to be maintained in abnormal cervix. It is a perplexing and rare entity for a clinician and also a diagnosis of exclusion; only histopathology can help for diagnosis. It mimics like malignancy and chronic infections.
Competing Interests: No potential conflict of interest relevant to this article was reported.
Databáze: MEDLINE