DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20201783

Xanthogranulomatous salpingo-oophoritis mimicking an ovarian malignancy: a clinical dilemma

Summiya Farooq, Farhat Abbas, Rahat Abbas, Ambreen Beigh, Ruby Reshi, Mehnaaz Khuroo

Abstract


Background: Xanthogranulomatoussalpingo-oophoritis is an uncommon form of chronic inflammation in the genitourinary tract. Its symptoms and radiological findings mimic ovarian malignancy. Aim of this study was to evaluate the clinicopathological pattern of xanthogranulomatous salphingo oophoritis.

Methods: This study was conducted in the department of pathology, Government Medical College, Srinagar. It was a retrospective study done over a period of 5 years, November 2014 to November 2019.

Results: The study was done to evaluate the clinicopathological pattern of 6 cases of rare entity xantogranulomatous salphingo oophoritis diagnosed at a tertiary care hospital. All patients, presented with pain abdomen. All patients were operated due to radiological suspicion of ovarian malignancy. Histopathological examination proved the lesion as xanthogranulomatous salphingo oophoritis.

Conclusions: Xanthogranulomatoussalpingo-oophoritis is a rare condition that is often mistaken for ovarian malignancy clinically and radiologically. Oophorectomy is the recommended treatment but most women are “over treated” with staging laparotomies and hysterectomies that render them infertile.


Keywords


Ovarian mass, Xanthogranulomatoussalpingo-oophoritis, Xanthogranulomatous inflammation

Full Text:

PDF

References


Franco V, Florena AM, Guarneri G, Gargano G. Xanthogranulomatous salpingitis: case report and review of the literature. Acta Europaea Fertil. 1990;21(4):197-9.

Mittal BV, Badhe BP. Xanthogranulomatous pyelonephritis-(a clinicopathological study of 15 cases). J Post Med. 1989;35(4):209.

Jung SE, Lee JM, Lee KY, Han KT, Hahn ST. Xanthogranulomatous oophoritis: MR imaging findings with pathologic correlation. Am Roentgenol. 2002;178(3):749-51.

Gray Y, Libbey NP. Xanthogranulomatous salpingitis and oophoritis: a case report and review of the literature. Arch Pathol Lab Med. 2001;125(2):260-3.

Shukla S, Pujani M, Singh SK, Pujani M. Xanthogranulomatous oophoritis associated with primary infertility and endometriosis. Indian J Pathol Microbiol. 2010;53:197‑8.

Kaur S, Bodal VK, Bal MS, Bhagat R, Mohi MK, Kaur J. Oophoritis with xanthogranulomatous change - a case report. Res Rev J Med Health Sci. 2013;2:8-9.

Kunakemakorn P, Ontai G, Balin H. Pelvic inflammatory pseudotumor: acasereport,” Am J Obstet Gynecol. 1976;126(2):286-7.

Kalloli M, Bafna UD, Mukherjee G, Devi UK, Gurubasavangouda, Rathod PS. A rare xanthogranulomatous oophoritis presenting as ovarian cancer. Online J Health Allied Sci. 2012;11:11.

Zhang XS, Dong HY, Zhang LL, Desouki MM, Zhao C. Xanthogranulomatous inflammation of the female genital tract: report of three cases. J Cancer. 2012;3:100-6.

Walther M, Glenn JF, Vellios F. Xanthogranulomatous cystitis. J Urol. 1985;134:745-6.

Date S, Sulhyan K, Badge S, Gosavi A, Ramteerthkar N. Xanthogranulomatous oophoritis: case report. Indian J Basic Appl Med Res. 2013;7(2):745.

Gupta N, Gupta C. Xanthogranulomatous oophoritis masquerading as ovarian neoplasm: report of two cases. Annal Pathol Lab Med. 2015:2(1):C24-7.

McCluggage WG, Allen DC. Ovarian granulomas: a report of 32 cases. J Clin Pathol. 1997;50:324-7.