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KMID : 0358420160590050411
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Korean Journal of Obstetrics and Gynecology
2016 Volume.59 No. 5 p.411 ~ p.414
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Cervical xanthogranuloma in a case of postmenopausal pyometra
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Alpana Singh
Garima Vats
A G Radhika
Pragati Meena
Gita Radhakrisnan
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Abstract
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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.
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KEYWORD
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Cervix uteri, Tuberculosis, Xanthogranulomatous inflammation
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