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IJHSR. 2016; 6(4): 124-133

Uncommon Gynecological Pathologies We Had Encountered - A Histopathological Potpourri.

Shifa S. Ibrahim, Kamaleshwari Kesavaraj, Shamsath Nisha A. Ibrahim, Umasankari L Ramasamy, Manjula Rajendran.

Background: Gynecological surgeries are done for both benign and malignant conditions involving the uterus, cervix, tubes, ovaries, vagina and vulva. Very few rare entities are seen in the gynaecopathological practice.
Aim: To analyze the uncommon benign and malignant entities diagnosed in the gynecological specimens.
Materials and Methods: During our one year study period, all the gynecological specimens were retrieved from the records. Rarely encountered specimens were included in our study after reanalysis. The histomorphology and the differential diagnosis are discussed.
Results: Out of 3100 gynecological specimens we received, few rare benign and malignant conditions were diagnosed. Most of them were incidental findings. The commonest presenting symptom was abdominal pain and the provisional diagnosis was leiomyoma in most of the cases. Ten interesting cases were diagnosed during our study period. Brief review of literature and differential diagnosis of these rare entities are discussed.
Conclusion: Rare entities like pure lipomatous lesion of the uterus and adenocarcinoma of mammary gland like arising from hidradenoma papilliferum were encountered during our study period. Diagnostic criteria’s of these rare tumors and the review of literature gave us a true learning experience.

Key words: Stromal tumor, Polyp, Apocrine carcinoma, Lipoma.

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