Xanthogranulomatous oophoritis-masquerading as ova-rian neoplasm: report of two cases
Keywords:
Xanthogranulomatous, Oophoritis, Malignancy
Abstract
Xanthogranulomatous oophritis is an unusual chronic inflammatory condition which clinically presents as a mass like lesion in the pelvic cavity. It invades the surrounding tissue and thus mimics like a tumor. Patients with xanthogranulomatous oophoritis presents with lower abdominal or suprapubic pain, fever, menorrhagia, vaginal bleeding, adnexal tenderness and rarely as a pelvic mass. Only a few cases of this entity have been reported in India.We report two cases of xanthogranulomatous inflammation of the female genital tract presenting with unilateral ovarian masses having clinical and radiological suspicion of an ovarian tumor. Both patients underwent panhystrectomy. Gross examination revealed enlarged unilateral ovaries with multiloculated cystic cavities on cut surface. Histopathological examination revealed massive infiltration of the ovarian tissue by lipid laden histiocytes and mixed inflammatory infiltrate suggesting a diagnosis of xanthogranulomatous oophoritis. These cases mimicked as malignancy and are of interest in view of their rarity.References
1. Karigoudar MH, Kushtagi AV, Karigoudar RM, Sirasagi AK. Xanthogranulomatous Oophoritis: A Rare Inflammatory Lesion. JKIMSU 2013;2:111-5
2. Kalloli M, Bafna UD, Mukherjee G, Devi UK, Gurubasavangouda, Rathod PS. A Rare Xantho-granulomatous Oophoritis Presenting as Ovarian Cancer. Online J Health Allied Scs 2012;11:11
3. Jung SE, Lee JM, Lee KY, Han KT, Hahn ST. Xanthogranulomatous oophoritis: MR imaging findings with pathological correlation.American J Roentgenol. 2002;178: 749-51.
4. Date S, Sulhyan K, Badge S, Gosavi A, Ram-teerthkar N. Xanthogranulomatous Oophoritis : Case Report. Indian Journal of Basic and Applied Medical Research 2013;7:745-9
5. Zhang XS, Dong HY, ZhangLI, Desouki MM and Zhao C; Xanthogranulomatous Inflammation of the female genital tract: Report of Three Cases. J Cancer. 2012;3:100-6.
6. Kaur S, Bodal VK, Bal MS, Bhagat R, Mohi MK. Xanthogranulomatous change-A Case Report. Research and Rewiew: J of Medical and Health Sciences 2013 ; 2: 8-9
7. Gray Y, Libbey NP. Xanthogranulomatous sal-pingitis and oophoritis: A case report and review of literatute. Arch Pathol Lab Med. 2001; 125:260-3.
8. Shukla S, Pujani M, Singh SK, Pujani M. Xan-thogranulomatous Oophritis associated with pri-mary infertility and endometriosis. Indian J Pa-thol Microbiol. 2010;53:197-8.
2. Kalloli M, Bafna UD, Mukherjee G, Devi UK, Gurubasavangouda, Rathod PS. A Rare Xantho-granulomatous Oophoritis Presenting as Ovarian Cancer. Online J Health Allied Scs 2012;11:11
3. Jung SE, Lee JM, Lee KY, Han KT, Hahn ST. Xanthogranulomatous oophoritis: MR imaging findings with pathological correlation.American J Roentgenol. 2002;178: 749-51.
4. Date S, Sulhyan K, Badge S, Gosavi A, Ram-teerthkar N. Xanthogranulomatous Oophoritis : Case Report. Indian Journal of Basic and Applied Medical Research 2013;7:745-9
5. Zhang XS, Dong HY, ZhangLI, Desouki MM and Zhao C; Xanthogranulomatous Inflammation of the female genital tract: Report of Three Cases. J Cancer. 2012;3:100-6.
6. Kaur S, Bodal VK, Bal MS, Bhagat R, Mohi MK. Xanthogranulomatous change-A Case Report. Research and Rewiew: J of Medical and Health Sciences 2013 ; 2: 8-9
7. Gray Y, Libbey NP. Xanthogranulomatous sal-pingitis and oophoritis: A case report and review of literatute. Arch Pathol Lab Med. 2001; 125:260-3.
8. Shukla S, Pujani M, Singh SK, Pujani M. Xan-thogranulomatous Oophritis associated with pri-mary infertility and endometriosis. Indian J Pa-thol Microbiol. 2010;53:197-8.
Published
2015-01-28
Issue
Section
Case Report
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access at http://opcit.eprints.org/oacitation-biblio.html).
