Cervical deciduosis imitating dysplasia

Diederik Anthony van Diepen, Bart W.J. Hellebrekers, Anne-Marie van Haaften, R. Natté
In: BMJ Case Reports · 2015 · vol. 2015 , pp. bcr2015210030 · doi:10.1136/bcr-2015-210030 · PMID:26396123 · W2315210530
article OA: bronze CC0 ⤵ 3 in-corpus citations
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This case report describes a 34-year-old pregnant woman whose cervical lesions mimicked dysplasia but were histologically confirmed as benign ectopic deciduosis.

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Abstract

Ectopic cervical deciduosis is generally an accidental finding during pregnancy, and usually presents without any symptoms or need for therapeutic intervention. However, it can sometimes imitate dysplasia or carcinoma. We report a case of a 34-year-old G2P0, with a history of cervical dysplasia, presenting at 11 weeks of gestation, with vaginal blood loss. During examination, lesions mimicking dysplasia were found on the cervix. Histological examination reported cervical deciduosis. Deciduosis is a benign change during pregnancy and will resolve spontaneously. With the increasing use of cytology and colposcopy, the reported incidence is growing. When it is hard to differentiate between dysplasia and deciduosis, histological confirmation should be considered.

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