Diagnostic dilemma in cervical endocervicosis

Area of Science:

• Gynecologic Pathology
• Embryonic Development
• Histopathology

Background:

• Müllerianosis encompasses benign conditions arising from embryonic Müllerian tissue, including adenomyosis, endometriosis, endosalpingiosis, and endocervicosis.
• Endocervicosis, a rare manifestation of Müllerianosis, typically affects the bladder but can rarely involve the cervix.
• Cervical endocervicosis presents as a pseudoneoplastic glandular lesion, posing a diagnostic challenge due to its potential misinterpretation as premalignant or malignant.

Observation:

• This study reports an uncommon case of cervical endocervicosis.
• The lesion presented significant difficulties in preoperative diagnosis based on clinical and radiological assessments.
• Pathological confirmation was essential for accurate diagnosis.

Findings:

• Cervical endocervicosis is a rare pseudoneoplastic lesion.
• Preoperative diagnosis is challenging, often requiring histopathological examination.
• Accurate early diagnosis is crucial due to differing treatment modalities for related conditions.

Implications:

• Highlights the importance of considering cervical endocervicosis in the differential diagnosis of cervical lesions.
• Emphasizes the limitations of current preoperative diagnostic methods for this condition.
• Underscores the necessity of pathological confirmation for appropriate patient management and treatment planning.