
Case Report on Epidermalization of Cervix: A Gynaecopathological Conundrum
QD01-QD02
Correspondence
Dr. Chaitanya Indrani,
Associate Professor, Department of Obstetrics and Gynaecology, MVJ Medical College and Research Hospital, Hoskote, Bengaluru-562114, Karnataka, India.
E-mail: drpcindrani1537@gmail.com
The cervix could exhibit changes like adenosis, squamous hyperplasia, hyperkeratosis and parakeratosis which are usually reactionary changes. This is generally found in cases secondary to uterine prolapse where there is scope in the cervix for continuous irritation and epidermoid metaplasia. A young woman (36-year-old Para 3 Living 3) came with complaints of mass per vagina and heavy menstrual bleeding. On examination, she had cervical elongation and histopathology after hysterectomy showed epidermalisation of the cervix. This unfamiliar finding raises the question of ectodermal-type structures in tissue that originated from mesoderm or endoderm. Considering the primary cause that expose the cervix and vagina, like uterine prolapse or cervical elongation, this phenomenon could be a metaplastic change more than a developmental oddity.