Unusual gynaecological presentations of donovanosis as pseudo-elephantiasis and carcinoma of the cervix.
We report 2 unusual gynaecological manifestations of Donovanosis in young tribal aborigines. The first patient presented for medical attention after haemorrhaging from a large pedunculated lesion arising from the left labium minus and majus. This lesion was subsequently confirmed as pseudo-elephantiasis resulting from long-standing Donovanosis of the vulva. The second patient, with initial findings consistent with a diagnosis of advanced cervical malignancy, was referred to the oncology service of a tertiary referral centre. Because of her age and race a differential diagnosis of Donovanosis was considered and subsequently confirmed on special staining (Warthin-Starry) of biopsy specimens. No evidence of malignancy was found in these specimens.
Leung
Y C
YC
King Edward Memorial Hospital for Women, Perth.
McCartney
A J
AJ
D000328:Adult; D001706:Biopsy; D015984:Causality; D003937:Diagnosis, Differential; D004604:Elephantiasis / Q000209:etiology; D005260:Female; D006100:Granuloma Inguinale / Q000150:complications / Q000175:diagnosis* / Q000208:ethnology; D006801:Humans; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014846:Vulvar Neoplasms / Q000175:diagnosis*; D000095283:Australian Aboriginal and Torres Strait Islander Peoples