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Case Reports
. 2015 Sep 22:2015:bcr2015210030.
doi: 10.1136/bcr-2015-210030.

Cervical deciduosis imitating dysplasia

Diederik Anthony van Diepen  1 , Bart Hellebrekers  2 , Anne-Marie van Haaften  2 , Remco Natté  3
Affiliations
Case Reports

Cervical deciduosis imitating dysplasia

Diederik Anthony van Diepen et al. BMJ Case Rep. .

Abstract

Ectopic cervical deciduosis is generally an accidental finding during pregnancy, and usually presents without any symptoms or need for therapeutic intervention. However, it can sometimes imitate dysplasia or carcinoma. We report a case of a 34-year-old G2P0, with a history of cervical dysplasia, presenting at 11 weeks of gestation, with vaginal blood loss. During examination, lesions mimicking dysplasia were found on the cervix. Histological examination reported cervical deciduosis. Deciduosis is a benign change during pregnancy and will resolve spontaneously. With the increasing use of cytology and colposcopy, the reported incidence is growing. When it is hard to differentiate between dysplasia and deciduosis, histological confirmation should be considered.

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Figures

Figure 1
Figure 1
Progression of lesions in (A), (B) and (C), spontaneously resolving in (D) at, respectively, 12, 21 and 25 weeks of gestation, and at 8 weeks after labour.
Figure 2
Figure 2
Pathology.
See this image and copyright information in PMC

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