
Congenital Transformation Zone Mimicking Cervical Premalignant Lesion
Author(s) -
Kavitha Dhanasekaran,
Sanjay Gupta,
Usha Ramakrishna,
Roopa Hariprasad
Publication year - 2020
Publication title -
journal of obstetrics and gynecology of india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 17
eISSN - 0971-9202
pISSN - 0975-6434
DOI - 10.1007/s13224-020-01352-2
Subject(s) - colposcopy , medicine , lesion , histopathology , differential diagnosis , biopsy , cervix , malignant transformation , cervical cancer , pathology , cancer
Congenital transformation zone (CTZ) of the uterine cervix is a non-neoplastic, rare condition resembling high-grade lesions on colposcopic examination which leads to diagnostic dilemmas.Case DescriptionA multiparous woman was screened for cervical cancer. Visual inspection using acetic acid was positive for which further evaluation with colposcopy was done. An aceto-white lesion resembling high-grade precancerous condition was seen. Punch biopsy was taken from multiple areas and the histopathology report demonstrated chronic cervicitis with increased maturation of the superficial layers of squamous epithelium. The lesion persisted on the follow-up colposcopy even after a course of antibiotics.