The Journal of Obstetrics and Gynaecology of India
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VOL. 73 NUMBER 3 May-June  2023

Cervical Amoebiasis Mimicking Cancer Cervix

Sarada Mamilla1 · Vijaykumar Agarwal1 · Shreeya Indulkar1 · Tejaswi Vuta2

Sarada Mamilla

mamillasarada@yahoo.co.in

1 Yashodha Hospital, Somajiguda, Hyderabad, Telangana, India

2 Department of Obstetrics and Gynaecology, Yashodha Hospital, Somajiguda, Hyderabad, Telangana, India

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Dr. Sarada Mamilla (DGO, DNB, FRCOG) is a Consultant Obstetrician and Gynaecologist, Yashodha Hospital, Somajiguda, Hyderabad, Telangana, India; Dr. Vijaykumar Agarwal (MD General Medicine) is a Consultant Physician, Yashodha Hospital, Somajiguda, Hyderabad, Telangana, India; Dr. Shreeya Indulkar (MD, DNB, DipRCPath) is a Consultant Pathologist, Yashodha Hospital, Somajiguda, Hyderabad, Telangana, India; Dr. Tejaswi Vuta is a Resident, Department of Obstetrics and Gynaecology, Yashodha Hospital, Somajiguda, Hyderabad, Telangana, India.

A 65-year-old obese postmenopausal woman presented with complaint of bleeding per vagina for 2 weeks. On speculum examination, a cervical growth was observed on the posterior lip, measuring approximately 3 × 3 cm with bleeding ulcers (Fig. 1). A provisional diagnosis of carcinoma cervix was made. Pap smear examination and cervical punch biopsy was done for definitive diagnosis. Pap smear showed atypical squamous cells of undetermined significance. Histopathological examination revealed many amebic trophozoites lying amidst necroinflammatory debris along with a few desquamative squamous cells with reactive nuclear atypia. PAS-D (Fig. 2b) and Masson trichrome (Fig. 2c) special stains were used to highlight the amebic trophozoites. Diagnosis of cervical amoebiasis was made. The patient was started on tablet secnidazole 500 mg, 1 tablet per day for 2 weeks. She recovered following treatment (Fig. 3). Follow-up pap smear was done after 3 months which was normal.


Funding No funding source.

Declarations
Conflict of interest
Authors have no conflict of interest.

Consent for Publication Written consent was taken from patient for publication of photographs.

Ethical Approval Ethical Approval was taken from Hospital Ethical committee.

Informed consent Written Informed consent taken from patient for publication of pictures.

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