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Case Reports
. 2022 May 19;15(5):e248197.
doi: 10.1136/bcr-2021-248197.

Xanthogranulomatous salpingo-oophoritis presenting as an ovarian tumour

Ana Torre  1 , Andreia Amado  2 , David João  3 , Inês Gouveia  4
Affiliations
Case Reports

Xanthogranulomatous salpingo-oophoritis presenting as an ovarian tumour

Ana Torre et al. BMJ Case Rep. .

Abstract

Xanthogranulomatous salpingo-oophoritis (XGSO) is an exceptionally rare entity. Its clinical manifestations and imaging modalities can mimic benign and malignant adnexal diseases, making it difficult to diagnose. Here we report a case of XGSO in a young woman who was operated with suspicion of a borderline ovarian tumour. Preoperative diagnosis of XGSO should be considered to avoid radical surgical treatment, especially in young patients.

Keywords: Obstetrics, gynaecology and fertility; Pathology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Histopathological findings of left salpingo-ophorectomy. On haematoxylin and eosin staining (H&E), severe chronic inflammation was found, with infiltration of the ovary (A and B) and fallopian tube (C and D) by dense sheets of plasmocytes, lymphocytes, neutrophils and histiocytes, some with foamy cytoplasm. There were several foci of fibrosis, suppuration and granulation tissue. (A—H&E, 20×; B—H&E, 100×; C—H&E, 100×; D—H&E, 100 ×).
See this image and copyright information in PMC

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