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| The Pseudo-Tumoral Appearance of Chronic Endometritis: Case Report.
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M. Sekkat, M. Bendahhou Idrissi, K. Saoud, N. Mamouni, S. Errarhay,
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Abstract:
Chronic endometritis is a rare condtion characterized by a plasma cell infiltrate in the endometrium. In some cases, this infiltrate can be significant, mimicking a tumoral pathology, particularly lymphomas. We report a case of a 75-year-old woman who presented with postmenopausal leukorrhea and a polypoid appearance of the endometrium on imaging. Biopsy revealed endometritis without malignancy, but the histological appearance was compatible with chronic endometritis, requiring further immunohistochemistry to rule out an underlying lymphoma. The final diagnosis was chronic endometritis. The diagnosis of lymphoma should be considered in the presence of an inflammatory infiltrate of significant intensity, extension to the superficial myometrium, and destruction of endometrial glands. Diagnosis can only be confirmed anatomopathologically, and immunohistochemistry is required to rule out an underlying lymphoma.
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