Cervical xanthogranuloma in a case of postmenopausal pyometra.
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.
Department of Obstetrics and Gynecology, University College of Medical Sciences and GTB Hospital, Delhi, India.
Alpana
A
Singh
Department of Obstetrics and Gynecology, University College of Medical Sciences and GTB Hospital, Delhi, India.
Garima
0000-0002-0785-8830
G
Vats
Department of Obstetrics and Gynecology, University College of Medical Sciences and GTB Hospital, Delhi, India.
A G
AG
Radhika
Department of Obstetrics and Gynecology, University College of Medical Sciences and GTB Hospital, Delhi, India.
Pragati
P
Meena
Department of Obstetrics and Gynecology, University College of Medical Sciences and GTB Hospital, Delhi, India.
Gita
G
Radhakrisnan
Cervix uteri; Tuberculosis; Xanthogranulomatous inflammation
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