An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs
Schistosoma hematobium infection is an endemic parasitic disease in Africa, which is frequently associated with urinary schistosomiasis. The parasite infection causes epithelial changes and disruption, facilitating the infection by the human papilloma virus and human immunodeficiency virus (HIV). T...
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doaj-4519c56a38854cf2866de9baa65e9c0e2020-11-24T21:22:32ZengUniversity of São PauloAutopsy and Case Reports2236-19602015-06-0152An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggsAlexia Toller0Ana Carolina Scopin1Vanessa Apfel2Karla Calaça Kabbach Prigenzi3Fernanda Kesselring Tso4Gustavo Rubino de Azevedo Focchi5Neila Speck6Julisa Ribalta7Departamento de Ginecologia e Obstetrícia - Hospital de São Francisco Xavier - Centro Hospitalar de Lisboa Ocidental, LisboaDepartamento de Ginecologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Ginecologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Patologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Ginecologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Patologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Ginecologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Ginecologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SP Schistosoma hematobium infection is an endemic parasitic disease in Africa, which is frequently associated with urinary schistosomiasis. The parasite infection causes epithelial changes and disruption, facilitating the infection by the human papilloma virus and human immunodeficiency virus (HIV). The authors report the case of a 44-year-old African HIV-positive woman who presented an abnormal routine Pap smear. Colposcopy examination revealed dense acetowhite micropapillary epithelium covering the ectocervix, iodine-negative, an erosion area in endocervical canal, and atypical vessels. Histologic examination of the surgical specimens showed numerous calcified schistosome eggs (probably S. hematobium) and a high-grade cervical intraepithelial neoplasia. The relation between S. hematobium infection and bladder cancer is well known; however, this relationship with cervical cancer remains controversial. The symptoms of schistosomiasis of the female genital tract are rather non-specific, and are often misdiagnosed with other pelvic diseases. The familiarity of health professionals with schistosomiasis of the female genital tract is less than expected, even in endemic regions. Therefore, great awareness of this differential diagnosis in routine gynecological practice is of paramount importance. http://www.revistas.usp.br/autopsy/article/view/107008Schistosoma hematobiumGenital DiseasesFemaleSchistosomiasis hematobiaHIV |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alexia Toller Ana Carolina Scopin Vanessa Apfel Karla Calaça Kabbach Prigenzi Fernanda Kesselring Tso Gustavo Rubino de Azevedo Focchi Neila Speck Julisa Ribalta |
spellingShingle |
Alexia Toller Ana Carolina Scopin Vanessa Apfel Karla Calaça Kabbach Prigenzi Fernanda Kesselring Tso Gustavo Rubino de Azevedo Focchi Neila Speck Julisa Ribalta An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs Autopsy and Case Reports Schistosoma hematobium Genital Diseases Female Schistosomiasis hematobia HIV |
author_facet |
Alexia Toller Ana Carolina Scopin Vanessa Apfel Karla Calaça Kabbach Prigenzi Fernanda Kesselring Tso Gustavo Rubino de Azevedo Focchi Neila Speck Julisa Ribalta |
author_sort |
Alexia Toller |
title |
An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs |
title_short |
An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs |
title_full |
An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs |
title_fullStr |
An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs |
title_full_unstemmed |
An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs |
title_sort |
interesting finding in the uterine cervix: schistosoma hematobium calcified eggs |
publisher |
University of São Paulo |
series |
Autopsy and Case Reports |
issn |
2236-1960 |
publishDate |
2015-06-01 |
description |
Schistosoma hematobium infection is an endemic parasitic disease in Africa, which is frequently associated with urinary schistosomiasis. The parasite infection causes epithelial changes and disruption, facilitating the infection by the human papilloma virus and human immunodeficiency virus (HIV). The authors report the case of a 44-year-old African HIV-positive woman who presented an abnormal routine Pap smear. Colposcopy examination revealed dense acetowhite micropapillary epithelium covering the ectocervix, iodine-negative, an erosion area in endocervical canal, and atypical vessels. Histologic examination of the surgical specimens showed numerous calcified schistosome eggs (probably S. hematobium) and a high-grade cervical intraepithelial neoplasia. The relation between S. hematobium infection and bladder cancer is well known; however, this relationship with cervical cancer remains controversial. The symptoms of schistosomiasis of the female genital tract are rather non-specific, and are often misdiagnosed with other pelvic diseases. The familiarity of health professionals with schistosomiasis of the female genital tract is less than expected, even in endemic regions. Therefore, great awareness of this differential diagnosis in routine gynecological practice is of paramount importance.
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topic |
Schistosoma hematobium Genital Diseases Female Schistosomiasis hematobia HIV |
url |
http://www.revistas.usp.br/autopsy/article/view/107008 |
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