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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 2 eISSN:  pISSN

Case Report

Multiplicity and Complexity of Lesions in a Surgically Resected Specimen

Uma S Andola1 , Sainath K Andola*2 , Balachandra Bhat 3

1Professor, Department of Obstetrics and Gynecology, 2Professor and Head, Department of Pathology, 3Resident Dept of Pathology, MR Medical College, Gulbarga 

Year: 2012, Volume: 2, Issue: 4, Page no. 250-252,
Views: 615, Downloads: 2
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CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

A50-year female with previous cervical biopsy reported as squamous cell carcinoma was taken for surgery and Wertheim's hysterectomy was done. Specimen consisted Uterus and cervix with bilateral adnexa and 2 pelvic lymph nodes. Cervix was showing a 1×1cms greyish brown irregular mass at external os which on microscopy showed moderately differentiated squamous cell carcinoma, large cell non-keratinising type with metastatic deposits in bilateral pelvic lymph nodes. One of the lymph nodes showed caseating granuloma and the uterus showing a small leiomyoma. Both ovaries were dark brown with spongy consistency and honeycomb appearance on cut section. Microscopy showed multiple thin walled vascular spaces filled with RBCs favoring a diagnosis of cavernous hemangioma.

This case is reported for its rarity i.e. Bilateral ovarian hemangioma, multiplicity i.e. 3 neoplasms and a granuloma and complexity i.e. both benign and malignant lesions and a tuberculous lymphadenitis.

<p>A50-year female with previous cervical biopsy reported as squamous cell carcinoma was taken for surgery and Wertheim's hysterectomy was done. Specimen consisted Uterus and cervix with bilateral adnexa and 2 pelvic lymph nodes. Cervix was showing a 1&times;1cms greyish brown irregular mass at external os which on microscopy showed moderately differentiated squamous cell carcinoma, large cell non-keratinising type with metastatic deposits in bilateral pelvic lymph nodes. One of the lymph nodes showed caseating granuloma and the uterus showing a small leiomyoma. Both ovaries were dark brown with spongy consistency and honeycomb appearance on cut section. Microscopy showed multiple thin walled vascular spaces filled with RBCs favoring a diagnosis of cavernous hemangioma.</p> <p>This case is reported for its rarity i.e. Bilateral ovarian hemangioma, multiplicity i.e. 3 neoplasms and a granuloma and complexity i.e. both benign and malignant lesions and a tuberculous lymphadenitis.</p>
Keywords
Carcinoma cervix, granuloma, multiple lesions, Ovarian hemangioma-bilateral
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