Xanthogranulomatous Salpingo-Oophoritis Presenting as an Ovarian Malignancy

Manandhar, Tara; Rajbhandari, Sanyukta; Thakur, Achala; Bhandari, Sangeeta; Dhakal, Sushil

doi:10.7759/cureus.13363

Cited by 9 publications

(14 citation statements)

References 10 publications

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“…Deep dyspareunia reported in this case has also been reported as a clinical symptom in a few case reports of xanthogranulomatous salpingooophoritis, as observed in this current case. 10,11 Adnexal tenderness and a pelvic mass are common examination findings as observed in the current case. 8,12 Ultrasound imaging usually shows an adnexal mass with varying echogenicity ranging from cystic to solid and loss of visualization of the involved ovary and/or fallopian tube.…”

Section: Case Reportsupporting

confidence: 60%

“…However, the radiologic and histological findings are similar to other reported cases, thus favouring the diagnosis of xanthogranulomatous oophoritis. 10,14 Because the clinico-radiological features of this lesion mimic a pelvic malignancy, oophorectomy is usually the standard treatment modality. 8,9,13 A pre-operative diagnosis obtained via frozen section may be useful especially in young patients like ours to prevent the need for radical surgery and its associated morbidity.…”

Section: Case Reportmentioning

confidence: 99%

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Xanthogranulomatous Oophoritis Masquerading As A Malignant Ovarian Neoplasm: A Case Report And Review Of Literature

Lawal¹,

Dalhatu²,

Suleiman³

et al. 2021

JJMedSci

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Xanthogranulomatous oophoritis is an uncommon chronic inflammatory process in which native ovarian tissue is destroyed and replaced by marked infiltration by foamy histiocytes, accompanied by other inflammatory cells with or without foci of necrosis or fibrosis. The exact aetiology remains unclear but it has been linked to chronic pelvic inflammatory disease (PID) and Tuberculosis which are endemic in sub-Saharan Africa, including Nigeria. We report a case from a 25 year old female who presented with recurrent lower abdominal pain and an adnexal mass.

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Section: Case Reportsupporting

confidence: 60%

Section: Case Reportmentioning

confidence: 99%

Xanthogranulomatous Oophoritis Masquerading As A Malignant Ovarian Neoplasm: A Case Report And Review Of Literature

Lawal¹,

Dalhatu²,

Suleiman³

et al. 2021

JJMedSci

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“…The clinical presentation of xanthogranulomatous salpingo-oophoritis can vary widely among patients, including symptoms such as lower abdominal pain, fever, dysmenorrhea, dyspareunia, chronic pelvic pain, abnormal uterine bleeding, reduced appetite, the presence of an abdominal mass, and even infertility. The destructive and mass-forming nature of the disease can make it exceedingly challenging to differentiate from malignancies both in terms of clinical symptoms and radiological findings [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Xanthogranulomatous Salpingo-Oophoritis as a Rare Presentation in Pelvic Inflammatory Disease

Sharma,

Singh,

Marwaha

et al. 2024

Cureus

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Xanthogranulomatous salpingo-oophoritis is an infrequent and challenging inflammatory condition of the female genital tract. It involves the destruction of the fallopian tube and ovarian tissue by infiltrating inflammatory cells comprising lipid-laden macrophages, lymphocytes, plasma cells, and multinucleated giant cells. While more commonly found in other organs like the gallbladder and kidney, its occurrence in the female genital tract is rare. We present a case of xanthogranulomatous salpingo-oophoritis in a 45-year-old woman, shedding light on its diagnostic and clinical complexities. Notably, this case features a rare histopathological finding of coexisting salpingitis isthmic nodosa (SIN) with xanthogranulomatous inflammation, adding to its uniqueness.

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“…Awareness of this inflammatory lesion can prevent extensive surgery and overdiagnosis as malignancy. 22…”

Section: Discussionmentioning

confidence: 99%

Xanthogranulomatous inflammation of female adnexa: diverse clinical presentations - a series of 7 cases

Singh,

Ahuja

2024

Int J Reprod Contracept Obstet Gynecol

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Xanthogranulomatous inflammation, a form of destructive chronic inflammation is a rare occurrence in female genital tract, especially ovary and fallopian tube. Its clinical and radiological presentation mimics ovarian malignancy which poses a diagnostic dilemma at times. Histopathology plays a pivotal role in diagnosis of this entity. We described seven cases in total, out of which two cases showed xanthogranulomatous oophoritis and five had both xanthogranulomatous oophoritis and salpingitis, all diagnosed on histopathology. Majority of the patients had abdominal pain, fever and adnexal mass on examination. Most women were treated based on the working diagnosis of malignancy or severe pelvic inflammatory disease. Histopathology remains the gold standard for diagnosis in all these cases, and with the aid of clinical and radiological details helps in ruling out other differential diagnosis.

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Xanthogranulomatous Salpingo-Oophoritis Presenting as an Ovarian Malignancy

Cited by 9 publications

References 10 publications

Xanthogranulomatous Oophoritis Masquerading As A Malignant Ovarian Neoplasm: A Case Report And Review Of Literature

Xanthogranulomatous Oophoritis Masquerading As A Malignant Ovarian Neoplasm: A Case Report And Review Of Literature

Xanthogranulomatous Salpingo-Oophoritis as a Rare Presentation in Pelvic Inflammatory Disease

Xanthogranulomatous inflammation of female adnexa: diverse clinical presentations - a series of 7 cases

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