A rare presentation of deep infiltrating cervical endometriosis mimicking cervical cancer

Authors

  • P. Swetha Department of Obstetrics and Gynaecology, Apollo Women’s Hospital, Chennai, Tamil Nadu, India
  • U. Nagashree Department of Obstetrics and Gynaecology, Apollo Women’s Hospital, Chennai, Tamil Nadu, India
  • R. Kondammal Department of Obstetrics and Gynaecology, Apollo Women’s Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20203881

Keywords:

Cervical endometriosis, Colposcopy, Hydroureteronephrosis

Abstract

Though endometriosis is a common progressive benign disorder of women, endometriosis of the cervix is rarely seen. It poses a challenge both for diagnosis and management. Most of the patients with Cervical endometriosis are asymptomatic, present with abnormal vaginal bleeding, post-coital bleeding or intermenstrual bleeding. In this paper, we report a rare case of deep infiltrating cervical endometriosis involving the ureter mimicking cervical cancer, the need for awareness to include cervical endometriosis as a differential diagnosis in case of menstural irregularities and its potential to cause serious complications.

Author Biography

P. Swetha, Department of Obstetrics and Gynaecology, Apollo Women’s Hospital, Chennai, Tamil Nadu, India

Depatment of Obstetrics and Gynecology

Junior Consultant

References

Veiga-Ferreira MM, Leiman G, Dunbar F, Margolius KA. Cervical endometriosis: facilitated diagnosis by fine needle aspiration cytologic testing. Am J Obstet Gynecol. 1987;157:849-56.

Phadnis SV, Doshi JS, Ogunnaike O, Coady A, Padwick M, Sanusi FA. Cervical endometriosis: a diagnostic and management dilemma. Arch Gynecol Obstet. 2005;272:289-93.

Cramer, Daniel W, Missmer SA. Epidemiology of endometriosis. Endometriosis in Clinical Practice. CRC Press. 2004;79-94.

Siddall RS, Mack HC. Primary endometriosis of the cervix uteri. Harper Hosp Bull. 1949;7:195.

Siddall RS, Mack HC. Primary endometriosis of the vagina; portion of the cervix uteri. Am J Obst And Gynec. 1949;60:765.

Wang S, Li XC, Lang JH. Cervical endometriosis: clinical character and management experience in a 27-year span. Am J Obstet Gynecol. 2011;205:e1-5.

Sampson JA. The development of the implantation theory for the origin of peritoneal endometriosis. Am J Obstet Gynecol. 1940;40:549-55.

Baker PM, Clement PB, Bell DA, Young RH. Superficial endometriosis of the uterine cervix: a report of 20 cases of a process that may be confused with endocervical glandular dysplasia or adenocarcinoma in situ. Int J Gynecol Pathol. 1999;18:198-205.

Hoang NM, Smadja A, Orcel L. Endometriosis of the uterine cervix. A hypothesis on its histogenesis. J Gynecol Obstet Biol Reprod. 1987;16(5):587-93.

Vinatier D, Orazi G, Cosson M, Dufour P. Theories of endometriosis. Eur J Obstet Gynecol Reprod Biol. 2001;96:21-34.

Sharpe-Timms KL. Defining endometrial cells: the need for improved identification at ectopic sites and characterization in eutopic sites for developing novel methods of management for endometriosis. Fertil Steril. 2005;84:35-9.

Symonds DA, Reed TP, Didolkar SM, Graham RR. AGUS in cervical endometriosis. J Reprod Med. 1997;42(1):39-43.

Kim TJ, Kim HS, Park CT, Park IS, Hong SR, Park JS, et al. Clinical evaluation of follow-up methods and results of atypical glandular cells of undetermined significance (AGUS) detected on cervicovaginal Pap smear. Gynecol Oncol. 1999;73 (2):292-8.

Lundeen SJ, Horwitz CA, Larson CJ, Stanley MW. Abnormal cervicovaginal smears due to endometriosis: a continuing problem. Diagn Cyto-pathol. 2002;26(1):35-40.

Szyfelbein WM, Baker PM, Bell DA. Superficial endometriosis of the cervix: A source of abnormal glandular cells on cervicovaginal smears. Diagn Cytopathol. 2004;30(2):88-91.

Kano H, Kanda H. Cervical endometriosis presented as a polypoid mass of portio cervix uteri. J Obstet Gynaecol. 2003;23:84-5.

Vercellini P, De Giorgi O, Pisacreta A, Vicentini S, Crosignani PG. Surgical management of endomet-riosis. Ballieres Best Pract Res Clin Obstet Gynaecol 2000;14:501-23.

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Published

2020-08-27

Issue

Section

Case Reports