Document Detail


Giant cell arteritis of the female genital tract. A report of three cases.
MedLine Citation:
PMID:  3766847     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three cases of giant cell arteritis involving the female genital tract of postmenopausal women are reported. The patients were 80, 64, and 57 years of age and presented with fatigue and anemia, fatigue and an abdominal mass, and fever and weight loss, respectively. Two of the patients had palpable pelvic masses; one had an ovarian mass visible on ultrasound examination. All three patients were anemic, and the erythrocyte sedimentation rate was elevated in the two women in whom it was tested. Exploratory laparotomy revealed ovarian tumors in two patients; one had a mucinous cystadenoma, and one had bilateral ovarian fibromas. The third patient had a cyst of the rete ovarii. Extensive giant cell arteritis of the small to medium-sized arteries was found unexpectedly in the ovaries and fallopian tubes of two patients who had prior hysterectomies and in the ovaries, fallopian tubes, and uterus of one patient. One patient was treated postoperatively with prednisone with improvement of symptoms and a decrease in the erythrocyte sedimentation rate. Of the two patients who received no therapy, one was found to have a thoracic aortic aneurysm 5 years postoperatively, and the other was alive without symptoms 17 years after the operation. Giant cell arteritis of the female genital tract is a rare finding in elderly women and may occur as an isolated finding or as part of generalized giant cell arteritis.
Authors:
D A Bell; M Mondschein; R E Scully
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of surgical pathology     Volume:  10     ISSN:  0147-5185     ISO Abbreviation:  Am. J. Surg. Pathol.     Publication Date:  1986 Oct 
Date Detail:
Created Date:  1986-11-20     Completed Date:  1986-11-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7707904     Medline TA:  Am J Surg Pathol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  696-701     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Arteries / pathology
Arteritis / complications,  pathology*
Cystadenoma / complications,  pathology
Cysts / complications,  pathology
Fallopian Tubes / pathology
Female
Fibroma / complications,  pathology
Genital Diseases, Female / complications,  pathology*
Humans
Middle Aged
Ovarian Neoplasms / complications,  pathology
Ovary / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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