J Pathol Transl Med.  2020 Nov;54(6):513-516. 10.4132/jptm.2020.08.18.

Xanthogranulomatous endometritis: a report of two Korean cases with cytologic findings

• Na JM
• Kim MH
• Ko GH
• Shin JK

• KMID: 2509506
• DOI: http://doi.org/10.4132/jptm.2020.08.18

Figure

• 

  Fig. 1. (A) Aspiration cytology of endometrium showing many neutrophils with scattered foamy histiocytes. (B) Gross examination of the uterus shows bright yellow endometrium. (C) Microscopic examination of the endometrium shows aggregation of foamy histiocytes admixed with lymphocytes, neutrophils, and plasma cells.

• 

  Fig. 2. (A) Endometrial washing cytology showing many neutrophils with scattered foamy histiocytes. (B) Gross examination of the uterus shows thickened and partly yellow endometrium. (C) Microscopic examination of the endometrium shows aggregation of foamy histiocytes and lymphocytes.

Reference

References

1. Russack V, Lammers RJ. Xanthogranulomatous endometritis: report of six cases and a proposed mechanism of development. Arch Pathol Lab Med. 1990; 114:929–32.

2. Ladefoged C, Lorentzen M. Xanthogranulomatous inflammation of the female genital tract. Histopathology. 1988; 13:541–51.

3. Barua R, Kirkland JA, Petrucco OM. Xanthogranulomatous endometritis: case report. Pathology. 1978; 10:161–4.

4. Noack F, Briese J, Stellmacher F, Hornung D, Horny HP. Lethal outcome in xanthogranulomatous endometritis. APMIS. 2006; 114:386–8.

5. Pounder DJ, Iyer PV. Xanthogranulomatous endometritis associated with endometrial carcinoma. Arch Pathol Lab Med. 1985; 109:73–5.

6. Dogan-Ekici AI, Usubutun A, Kucukali T, Ayhan A. Xanthogranulomatous endometritis: a challenging imitator of endometrial carcinoma. Infect Dis Obstet Gynecol. 2007; 2007:34763.

7. Gupta P, Dhingra KK, Roy S, Khurana N, Azad M. Xanthogranulomatous endometritis coexisting with carcinoma cervix. ANZ J Surg. 2009; 79:498–9.

8. Makkar M, Gill M, Singh D. Xanthogranulomatous endometritis: an unusual pathological entity mimicking endometrial carcinoma. Ann Med Health Sci Res. 2013; 3(Suppl 1):S48–9.

9. Malik CA, Dudani S, Mani BN. Xanthogranulomatous endometritis presenting as pyometra and mimicking carcinoma on imaging. J Midlife Health. 2016; 7:88–90.

10. Du XZ, Lu M, Safneck J, Baker P, Dean E, Mottola J. Xanthogranulomatous endometritis mimicking endometrial carcinoma: A case report and review of literature. Radiol Case Rep. 2019; 14:121–5.