A rare presentation of deep infiltrating cervical endometriosis mimicking cervical cancer

A rare presentation of deep infiltrating cervical endometriosis mimicking cervical cancer DOI: https://doi.org/10.18203/2320-1770.ijrcog20203881Keywords: Cervical endometriosis, Colposcopy, HydroureteronephrosisAbstract 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. Metrics 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.