Cervical xanthogranuloma in a case of postmenopausal pyometra
Obstetrics & Gynecology Science
;
: 411-414, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-129962
ABSTRACT
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Instrumentos Quirúrgicos
/
Tuberculosis
/
Úlcera
/
Útero
/
Biopsia
/
Cuello del Útero
/
Ultrasonografía
/
Diagnóstico
/
Piómetra
/
Fiebre
Tipo de estudio:
Estudio diagnóstico
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Obstetrics & Gynecology Science
Año:
2016
Tipo del documento:
Artículo
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