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Mondal S, Pradhan R, Chakraborty A, Chatterjee S. Osseous Metaplasia of Cervix Mimicking Cervical Cancer - A Rare Case Report. J Midlife Health 2024; 15:122-124. [PMID: 39145270 PMCID: PMC11321509 DOI: 10.4103/jmh.jmh_84_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Revised: 03/14/2024] [Accepted: 04/02/2024] [Indexed: 08/16/2024] Open
Abstract
Osseous metaplasia (OM) of the cervix without involvement of the uterus is an extremely rare entity. Only few cases had been reported in the literature. We reported a rare case of OM of the cervix clinically mimicking cervical cancer. A 52-year-old female presented with chief complaints of leukorrhea and an unusual sensation of mass in the vagina. On clinical examination, the uterus, adnexa, pouch of Douglas, vulva, and perineum-all were normal except the cervix which was hypertrophied with surface irregularities. Histopathological examination of the cervix showed OM of the cervix. Since this is a benign entity, proper diagnosis is essential to avoid misdiagnosis of malignant tumors, especially malignant mesenchymal tumors.
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Affiliation(s)
- Sajeeb Mondal
- Department of Pathology, Rampurhat Government Medical College and Hospital, Rampurhat, West Bengal, India
| | - Rajashree Pradhan
- Department of Pathology, College of Medicine and Sagore Dutta Hospital, Kolkata, West Bengal, India
| | - Ashmita Chakraborty
- Department of Physiology, Rampurhat Government Medical College and Hospital, Rampurhat, West Bengal, India
| | - Sankha Chatterjee
- Department of Pathology, Rampurhat Government Medical College and Hospital, Rampurhat, West Bengal, India
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Jamal I, Gupta RK, Raj S, Bhadani PP. Endometrial and cervical osseous metaplasia with extramedullary haematopoiesis presenting as amenorrhea: Report of three cases. INDIAN J PATHOL MICR 2021; 63:295-297. [PMID: 32317538 DOI: 10.4103/ijpm.ijpm_574_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Endometrial and cervical osseous metaplasia (OM) is a rare phenomenon seen mostly in reproductive age group. Patients generally present with complaints of secondary infertility. Although few cases of endometrial OM have been described in literature, to the best of our knowledge, only six cases of OM in cervix have been reported so far. We report three cases of endometrial OM with extramedullary hematopoiesis, presented with complaints of amenorrhea and secondary infertility. In addition, one of the patients also had cervical OM.
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Affiliation(s)
- Iffat Jamal
- Department of Pathology, All India Institute of Medical Sciences, Patna, India
| | - Rakesh K Gupta
- Department of Pathology, All India Institute of Medical Sciences, Patna, India
| | - Surabhi Raj
- Department of Pathology, All India Institute of Medical Sciences, Patna, India
| | - Punam P Bhadani
- Department of Pathology, All India Institute of Medical Sciences, Patna, India
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Osseous Metaplasia of the Cervix: A Rare Transformation Can Mimic a Tumor-Literature Review. Case Rep Pathol 2018; 2018:1392975. [PMID: 30515339 PMCID: PMC6234442 DOI: 10.1155/2018/1392975] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2018] [Revised: 10/13/2018] [Accepted: 10/28/2018] [Indexed: 11/17/2022] Open
Abstract
Background The transformation of nonosseous soft tissue into bone is known as osseous metaplasia (OM). This condition most commonly affects the musculoskeletal and central nervous systems and it is a well-known phenomenon in different soft tissue organs. Rarely, OM can affect the uterus, which can extend into the cervix. OM affecting the cervix alone is a more rare condition that has multiple different clinical presentations. The presentation can be similar to that of a tumor in extremely rare cases. Case Summary A 23-year-old nulligravida was complaining of irregular vaginal bleeding for one-month duration. Speculum examination revealed a foul-smelling bloody purulent discharge, tender cervix, and a brownish growth located at the posterior cervical lip. A punch biopsy of the growth was performed. Histological examination of the tissue revealed multiple bone fragments with necrosis and an inflammatory exudate. Because of the unusual findings, a repeat biopsy was performed. The biopsy yielded the same findings, which confirmed the diagnosis of osseous metaplasia of the cervix. Conclusion Although osseous metaplasia is a known phenomenon in different soft tissues, it is extremely rare in the uterine cervix and can mimic malignancy. Therefore, clinicians should be aware of it.
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Osseous Metaplasia of the Vaginal Vault: A Case Report. J Obstet Gynaecol India 2018; 68:502-504. [PMID: 30416280 DOI: 10.1007/s13224-017-1004-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Accepted: 05/02/2017] [Indexed: 10/19/2022] Open
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Bozdag G, Mumusoglu S, Dogan S, Esinler I, Gunalp S. Osseous Metaplasia and Subsequent Spontaneous Pregnancy Chance: A Case Report and Review of the Literature. Gynecol Obstet Invest 2015; 80:217-22. [DOI: 10.1159/000439529] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2015] [Accepted: 08/12/2015] [Indexed: 11/19/2022]
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Sangwan VG, Sangwan M, Mahendroo R, Lakra P, Singh K, Siwach S. Nulligravida Female with Heterotopic Cartilage in Uterus: A Case Report with Historical Review. J Gynecol Surg 2015. [DOI: 10.1089/gyn.2014.0062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Vijayata G. Sangwan
- Department of Obstetrics and Gynecology, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
| | - Mukesh Sangwan
- Department of General Surgery, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
| | - Rajiv Mahendroo
- Department of Obstetrics and Gynecology, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
| | - Pinki Lakra
- Department of Obstetrics and Gynecology, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
| | - Kulwant Singh
- Department of Pathology, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
| | - Sunita Siwach
- Department of Obstetrics and Gynecology, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
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Lee S, Mun ST. Endometrial carcinoma development in an endometrial polyp with early metaplastic bone formation in a young female patient. J OBSTET GYNAECOL 2014; 34:278-9. [PMID: 24483831 DOI: 10.3109/01443615.2013.853031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- S Lee
- Department of Pathology, College of Medicine, Soonchunhyang University , Cheonan , Korea
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Feng Z, Jiale Q, Xiaofei Z, Qingyun G, Lili H. Simultaneous osseous metaplasia nodules of the submucosa and mesosalpinx after first trimester abortion: a case report. Eur J Med Res 2013; 18:47. [PMID: 24245923 PMCID: PMC4176990 DOI: 10.1186/2047-783x-18-47] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2013] [Accepted: 10/29/2013] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES Here, we report a case of simultaneous osseous metaplasia nodules of the submucosa and mesosalpinx after a first trimester abortion. CASE PRESENTATION A 36-year-old woman presented to the Women's Hospital, School of Medicine, Zhejiang University with vaginal bleeding and infertility resulting from osseous metaplasia nodules of the submucosa and mesosalpinx after a first trimester abortion. Diagnostic and operative hysteroscopy and laparoscope procedures were performed. The osseous metaplasia nodules disappeared after hysteroscopy and laparoscope interventions; 2 weeks postoperatively, the patient underwent a transvaginal ultrasound examination and the abnormal ultrasound appearance had resolved. CONCLUSIONS Osseous metaplasia nodules in the submucosa and mesosalpinx can be a rare cause of vaginal bleeding and infertility. Autologous tissue, not persistent heterologous tissue, may be the true reason for metaplasia. Treatment is by ultrasound-guided curettage or by hysteroscopic and laparoscope removal.
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Affiliation(s)
- Zhou Feng
- Department of Pathology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China
| | - Qin Jiale
- Department of Ultrasound, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China
| | - Zhang Xiaofei
- Department of Pathology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China
| | - Guo Qingyun
- Department of Obstetrics and Gynecology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, 1 Xueshi Road, Hangzhou, Zhejiang Province 310006, People’s Republic of China
| | - Huang Lili
- Department of Obstetrics and Gynecology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, 1 Xueshi Road, Hangzhou, Zhejiang Province 310006, People’s Republic of China
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A postconization hematometra revealed a rare case of endocervical bone metaplasia. J Low Genit Tract Dis 2013; 18:E19-22. [PMID: 23959299 DOI: 10.1097/lgt.0b013e3182914eef] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Hematometra is an unusual occurrence in young women undergoing conization; moreover, osseous metaplasia of the uterine cervix is a very rare event, with 7 cases in the literature. A postconization hematometra due to endocervical ossification is a unique occurrence. The authors report such an event. CASE A young woman undergoing conization developed progressive hypoamenorrhea with pelvic pain. Pregnancy test was negative and a transvaginal ultrasound showed an image of suspected hematometra. Diagnostic hysteroscopy showed an endocervical obstruction due to a bone formation of the uterine cervix, which was removed with an office operative hysteroscopy. After surgery, the patient restored normal menstrual cycle. Histological examination revealed a cervical bone metaplasia. CONCLUSIONS In premenopausal women undergoing conization, the appearance of a progressive hypoamenorrhea with pelvic pain could suggest a cervical mechanical obstruction that could be an uncommon stenosis. Despite this case represents a very rare event, a postconization hematometra due to an endocervical ossification can be managed with an office operative hysteroscopy.
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Perino A, Mangione D, Svelato A, Forlani F, Gargano F, Incandela D, Coppola MA, Venezia R. Chronic renal failure and endometrial osseous metaplasia: a hypothetical pathway. Acta Obstet Gynecol Scand 2012; 92:118-9. [PMID: 22709353 DOI: 10.1111/j.1600-0412.2012.01487.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Mandato VD, Sacchetti F, Gelli MC, La Sala GB. A hard cervix: Microscopic examination revealed that a rare transformation had occurred. Am J Obstet Gynecol 2012; 206:362.e1-3. [PMID: 22356821 DOI: 10.1016/j.ajog.2012.01.028] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2011] [Revised: 12/22/2011] [Accepted: 01/19/2012] [Indexed: 11/18/2022]
Affiliation(s)
- Vincenzo Dario Mandato
- Department of Obstetrics and Gynecology, IRCCS-Arcispedale S. Maria Nuova di Reggio Emilia, University of Modena and Reggio Emilia, Reggio Emilia, Italy
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