Queratosis seborreica en el fondo de saco de Douglas: reporte de un caso

Mauricio Gómez-Londoño, Luís Guillermo Echavarría-Restrepo, Joan Manuel Gutiérrez-Sanmartín, Sara Catalina Merino-Correa, Claudia Patricia Henao, Daniel Sanín-Ramírez

Producción científica: Contribución a una revistaArtículo en revista científica indexadarevisión exhaustiva


BACKGROUND: Thera are few repots of intraepithelial neoplasms with origins in the cervix or vagina with squamous appearance. This kind of lesions have been classified because of their morphologic similarities, in the category of “seborrheic keratoses like”. When seborrheic keratoses appears in the vaginal or vulvar mucosa, it has to be differentiated from low and high grade intraepithelial squamous lesions. OBJECTIVE: To describe a case of seborrheic keratoses in the recto-uterine pouch. CLINICAL CASE: 70 years old patient, who underwent surgery for stress urinary incontinence with a sub-urethral sling. During the procedure, a lesion in the vaginal mucosa was detected, specifically in the recto-uterine pouch, of 1.2 x 1 cm length, with a light brown color and soft consistency. A specimen was taken from the lesion during the procedure for histopathological study, which reported: hyperkeratosis in the epidermis, regular acanthosis, thickening and anastomosis of the crests with formation of corneal pearls, dermis with inflammatory, chronic, perivascular infiltration, with no signs of malignancy. The diagnosis was hypertrophic seborrheic keratoses, positive for P16 stain which orients to HPV infection. The lesion was removed and the patient continued follow up with her primary care provider. CONCLUSIONS: Seborrheic keratoses in this location is uncommon, with few reports in literature. These lesions are usually benign and are associated to HPV of low risk.

Título traducido de la contribuciónSeborrheic keratoses in the recto-uterine pouch: Case report.
Idioma originalEspañol
Páginas (desde-hasta)842-845
Número de páginas4
PublicaciónGinecologia y Obstetricia de Mexico
EstadoPublicada - dic. 2019
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© 2019 Asociacion Mexicana de Ginecologia y Obstetricia. All rights reserved.

Palabras clave

  • Cervix
  • Intraephitelial neoplasms
  • Keratosis
  • Papillomavirus infection: Squamous Intraephitelial Lesions of the Cervix
  • Seborrheic
  • Squamous
  • Urinary Incontinence Stress
  • Vagina
  • Vaginal mucosa
  • Vulvar mucosa


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