Cervical xanthogranuloma in a case of postmenopausal pyometra.
10.5468/ogs.2016.59.5.411
- Author:
Alpana SINGH
1
;
Garima VATS
;
A G RADHIKA
;
Pragati MEENA
;
Gita RADHAKRISNAN
Author Information
1. Department of Obstetrics and Gynecology, University College of Medical Sciences and GTB Hospital, Delhi, India. gvats.dr@gmail.com
- Publication Type:Case Report
- Keywords:
Cervix uteri;
Tuberculosis;
Xanthogranulomatous inflammation
- MeSH:
Biopsy;
Cervix Uteri;
Diagnosis;
Female;
Fever;
Gallbladder;
Genitalia;
Humans;
Inflammation;
Kidney;
Middle Aged;
Pyometra*;
Surgical Instruments;
Tuberculosis;
Ulcer;
Ultrasonography;
Uterus
- From:Obstetrics & Gynecology Science
2016;59(5):411-414
- CountryRepublic of Korea
- Language:English
-
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.
