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An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs

Toller, Alexia; Scopin, Ana Carolina; Apfel, Vanessa; Prigenzi, Karla Calaça Kabbach; Tso, Fernanda Kesselring; Focchi, Gustavo Rubino De Azevedo; Speck, Neila; Ribalta, Julisa

Autopsy and Case Reports; Vol. 5 Núm. 2 (2015); 41-44

Universidade de São Paulo. Hospital Universitário 2015-06-30

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  • Título:
    An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs
  • Autor: Toller, Alexia; Scopin, Ana Carolina; Apfel, Vanessa; Prigenzi, Karla Calaça Kabbach; Tso, Fernanda Kesselring; Focchi, Gustavo Rubino De Azevedo; Speck, Neila; Ribalta, Julisa
  • Assuntos: Schistosoma Hematobium; Genital Diseases; Female; Schistosomiasis Hematobia; Hiv
  • É parte de: Autopsy and Case Reports; Vol. 5 Núm. 2 (2015); 41-44
  • Descrição: Schistosoma hematobium infection is an endemic parasitic disease in Africa, which is frequently associated with urinary schistosomiasis. The parasite infection causes epithelial changes and disruption, facilitating the infection by the human papilloma virus and human immunodeficiency virus (HIV). The authors report the case of a 44-year-old African HIV-positive woman who presented an abnormal routine Pap smear. Colposcopy examination revealed dense acetowhite micropapillary epithelium covering the ectocervix, iodine-negative, an erosion area in endocervical canal, and atypical vessels. Histologic examination of the surgical specimens showed numerous calcified schistosome eggs (probably S. hematobium) and a high-grade cervical intraepithelial neoplasia. The relation between S. hematobium infection and bladder cancer is well known; however, this relationship with cervical cancer remains controversial. The symptoms of schistosomiasis of the female genital tract are rather non-specific, and are often misdiagnosed with other pelvic diseases. The familiarity of health professionals with schistosomiasis of the female genital tract is less than expected, even in endemic regions. Therefore, great awareness of this differential diagnosis in routine gynecological practice is of paramount importance.
  • Títulos relacionados: https://www.revistas.usp.br/autopsy/article/view/107008/105576
  • Editor: Universidade de São Paulo. Hospital Universitário
  • Data de criação/publicação: 2015-06-30
  • Formato: Adobe PDF
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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