Article: Schistosomiasis of the Cervix

A 27-year-old woman was found to have a low-grade squamous intraepithelial lesion and koilocytic changes consistent with human papillomavirus infection on routine Papanicolaou test. She had lived in rural Senegal (West Africa) all her life, until she moved to the United States 3 years earlier. She recalled swimming in lakes while living in Senegal, but reported no history of abnormal bleeding of the cervix, in her urine, or per rectum. Biopsy of the cervix revealed moderate dysplasia involving the endocervical glands, squamous metaplasia, and severe acute and chronic cervicitis. Calcified eggs were present in the stroma (Figure 1, hematoxylin-eosin, original magnification ×20, after ...

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