Xanthogranulomatous change in a leiomyoma: First report of an extremely rare variant/degenerative change
Xanthogranulomatous inflammation, a specific form of chronic inflammation, is marked by parenchymal destruction, proliferative fibrosis, and infiltration of typical foamy histiocytes admixed with hemosiderin-laden macrophages and foreign-body giant cells. Myometrial xanthomatosis, a term designated...
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Published in | Journal of Mid-life Health Vol. 14; no. 1; pp. 60 - 62 |
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Format | Journal Article |
Language | English |
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Wolters Kluwer India Pvt. Ltd
01.01.2023
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Abstract | Xanthogranulomatous inflammation, a specific form of chronic inflammation, is marked by parenchymal destruction, proliferative fibrosis, and infiltration of typical foamy histiocytes admixed with hemosiderin-laden macrophages and foreign-body giant cells. Myometrial xanthomatosis, a term designated for nodular or diffuse histiocytic hyperplasia of the myometrium, has been reported in association with pregnancy-related procedures. Moreover, a 2-3-fold increase in histiocytic counts has been observed in leiomyomatous areas than in adjacent normal myometrium. The first evidence of collections of lipid-laden macrophages was documented in the form of yellowish degeneration of uterine leiomyomas. We report a case of xanthogranulomatous change in a leiomyoma in a 47-year-old female who presented with abnormal uterine bleeding. To the best of our knowledge, this is the first report of xanthogranulomatous variant/degenerative change in a leiomyoma. This case highlights a new variant of leiomyoma which both gynecologists and pathologists should be aware of as it may pose a diagnostic challenge both clinically as well as pathologically. |
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AbstractList | Xanthogranulomatous inflammation, a specific form of chronic inflammation, is marked by parenchymal destruction, proliferative fibrosis, and infiltration of typical foamy histiocytes admixed with hemosiderin-laden macrophages and foreign-body giant cells. Myometrial xanthomatosis, a term designated for nodular or diffuse histiocytic hyperplasia of the myometrium, has been reported in association with pregnancy-related procedures. Moreover, a 2-3-fold increase in histiocytic counts has been observed in leiomyomatous areas than in adjacent normal myometrium. The first evidence of collections of lipid-laden macrophages was documented in the form of yellowish degeneration of uterine leiomyomas. We report a case of xanthogranulomatous change in a leiomyoma in a 47-year-old female who presented with abnormal uterine bleeding. To the best of our knowledge, this is the first report of xanthogranulomatous variant/degenerative change in a leiomyoma. This case highlights a new variant of leiomyoma which both gynecologists and pathologists should be aware of as it may pose a diagnostic challenge both clinically as well as pathologically. A BSTRACT Xanthogranulomatous inflammation, a specific form of chronic inflammation, is marked by parenchymal destruction, proliferative fibrosis, and infiltration of typical foamy histiocytes admixed with hemosiderin-laden macrophages and foreign-body giant cells. Myometrial xanthomatosis, a term designated for nodular or diffuse histiocytic hyperplasia of the myometrium, has been reported in association with pregnancy-related procedures. Moreover, a 2–3-fold increase in histiocytic counts has been observed in leiomyomatous areas than in adjacent normal myometrium. The first evidence of collections of lipid-laden macrophages was documented in the form of yellowish degeneration of uterine leiomyomas. We report a case of xanthogranulomatous change in a leiomyoma in a 47-year-old female who presented with abnormal uterine bleeding. To the best of our knowledge, this is the first report of xanthogranulomatous variant/degenerative change in a leiomyoma. This case highlights a new variant of leiomyoma which both gynecologists and pathologists should be aware of as it may pose a diagnostic challenge both clinically as well as pathologically. |
Audience | Academic |
Author | Ahuja, Rashmi Pujani, Mukta Chawla, Raina Khandelwal, Aparna Singh, Kanika Chauhan, Varsha |
AuthorAffiliation | Department of Pathology, ESIC Medical College and Hospital, NIT, Faridabad, Haryana, India 2 Department of Pathology, ESIC Medical College, Faridabad, Haryana, India 1 Department of Pathology, ESIC Medical College and Hospital, Faridabad, Haryana, India 3 Department of Obs and Gynae, ESIC Medical College and Hospital, Faridabad, Haryana, India |
AuthorAffiliation_xml | – name: 2 Department of Pathology, ESIC Medical College, Faridabad, Haryana, India – name: 1 Department of Pathology, ESIC Medical College and Hospital, Faridabad, Haryana, India – name: Department of Pathology, ESIC Medical College and Hospital, NIT, Faridabad, Haryana, India – name: 3 Department of Obs and Gynae, ESIC Medical College and Hospital, Faridabad, Haryana, India |
Author_xml | – sequence: 1 givenname: Mukta surname: Pujani fullname: Pujani, Mukta organization: Department of Pathology, ESIC Medical College and Hospital, NIT, Faridabad, Haryana – sequence: 2 givenname: Kanika surname: Singh fullname: Singh, Kanika organization: Department of Pathology, ESIC Medical College and Hospital, Faridabad, Haryana – sequence: 3 givenname: Varsha surname: Chauhan fullname: Chauhan, Varsha organization: Department of Pathology, ESIC Medical College and Hospital, NIT, Faridabad, Haryana – sequence: 4 givenname: Aparna surname: Khandelwal fullname: Khandelwal, Aparna organization: Department of Pathology, ESIC Medical College, Faridabad, Haryana – sequence: 5 givenname: Raina surname: Chawla fullname: Chawla, Raina organization: Department of Obsand Gynae, ESIC Medical College and Hospital, Faridabad, Haryana – sequence: 6 givenname: Rashmi surname: Ahuja fullname: Ahuja, Rashmi organization: Department of Obsand Gynae, ESIC Medical College and Hospital, Faridabad, Haryana |
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Keywords | xanthogranulomatous change leiomyoma Histiocytes |
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References | Dimaio (R4-20240906) 2012; 31 Wader (R2-20240906) 2013; 14 Ladefoged (R1-20240906) 1988; 13 Lim (R8-20240906) 1995; 29 Vats (R3-20240906) 2019; 2 Makkar (R7-20240906) 2013; 3 Adany (R5-20240906) 1990; 9 Inoue (R6-20240906) 2014; 14 |
References_xml | – volume: 2 start-page: 28 year: 2019 ident: R3-20240906 article-title: Xanthogranulomatous inflammation in gynecology:A rare and perplexing clinical entity publication-title: Arch Obstet Gynecol Reprod Med contributor: fullname: Vats – volume: 29 start-page: 221 year: 1995 ident: R8-20240906 article-title: Yellowish degeneration of uterine leiomyomas:Light microscopic and ultrastructural observations publication-title: Korean J Pathol contributor: fullname: Lim – volume: 14 start-page: 329 year: 2013 ident: R2-20240906 article-title: Histiocytic endometritis publication-title: Am J Case Rep doi: 10.12659/AJCR.889248 contributor: fullname: Wader – volume: 13 start-page: 541 year: 1988 ident: R1-20240906 article-title: Xanthogranulomatous inflammation of the female genital tract publication-title: Histopathology doi: 10.1111/j.1365-2559.1988.tb02078.x contributor: fullname: Ladefoged – volume: 31 start-page: 166 year: 2012 ident: R4-20240906 article-title: Myometrial xanthomatosis:Possible relationship to prior pregnancy procedure publication-title: Int J Gynecol Pathol doi: 10.1097/PGP.0b013e3182243581 contributor: fullname: Dimaio – volume: 9 start-page: 137 year: 1990 ident: R5-20240906 article-title: Increased density of histiocytes in uterine leiomyomas publication-title: Int J Gynecol Pathol doi: 10.1097/00004347-199004000-00005 contributor: fullname: Adany – volume: 3 start-page: S48 year: 2013 ident: R7-20240906 article-title: Xanthogranulomatous endometritis:An unusual pathological entity mimicking endometrial carcinoma publication-title: Ann Med Health Sci Res doi: 10.4103/2141-9248.121222 contributor: fullname: Makkar – volume: 14 start-page: 82 year: 2014 ident: R6-20240906 article-title: Xanthogranulomatous inflammation of the perimetrium with infiltration into the uterine myometrium in a postmenopausal woman:A case report publication-title: BMC Womens Health doi: 10.1186/1472-6874-14-82 contributor: fullname: Inoue |
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Title | Xanthogranulomatous change in a leiomyoma: First report of an extremely rare variant/degenerative change |
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