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Chronic uterine inversion with malignancy mimicking carcinoma cervix
Bhavana Girish1, Amenda Ann Davis1
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ Case Reports
|February 3, 2019
Summary
Chronic non-puerperal uterine inversion is rare. This case highlights a postmenopausal woman with uterine inversion presenting as a vaginal mass and bleeding, diagnosed with squamous cell carcinoma.
Area of Science:
- Gynecology
- Oncology
Background:
- Chronic non-puerperal uterine inversion is an exceptionally rare clinical presentation.
- Uterine inversion, particularly when chronic and non-puerperal, is infrequently documented in medical literature.
Observation:
- A 64-year-old postmenopausal woman presented with a vaginal mass and postmenopausal bleeding.
- Initial examination revealed third-degree cervical descent with irregular cervical growth, diagnosed as squamous cell carcinoma via biopsy.
- Laparotomy confirmed uterine inversion with irregular growth on the fundus.
Findings:
- Histopathology revealed squamous cell carcinoma of the endometrium in the inverted uterine fundus.
- The patient's presentation mimicked advanced cervical cancer but was ultimately attributed to endometrial carcinoma within an inverted uterus.
Implications:
- This case underscores the importance of considering uterine inversion in postmenopausal women with apparent cervical masses and bleeding.
- Accurate diagnosis through laparotomy and subsequent histopathology is crucial for appropriate management of this rare condition.
- Highlights the diagnostic challenges and the need for comprehensive evaluation in gynecological oncology.
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