A case of clear cell adenocarcinoma of the uterine cervix
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- USHIJIMA Michiyo
- Department of Obstetrics and Gynecology, Takaoka City Hospital
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- YAMAKAWA Yoshihiro
- Department of Obstetrics and Gynecology, Takaoka City Hospital
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- TAKAGOSHI Yuuko
- Department of Pathology, Takaoka City Hospital
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- MAEDA Mutsuko
- Department of Pathology, Takaoka City Hospital
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- OKETANI Kaori
- Department of Pathology, Takaoka City Hospital
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- INASAKA Jun
- Department of Obstetrics and Gynecology, Takaoka City Hospital
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- KATOU Kiyoshi
- Department of Obstetrics and Gynecology, Takaoka City Hospital
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- OKADA Eikichi
- Department of Pathology, Takaoka City Hospital
Bibliographic Information
- Other Title
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- 子宮頸部明細胞腺癌の 1 例
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Abstract
Background : Clear cell uterine-cervix adenocarcinoma is extremely rare, accounting for just 4% of cases. We report such a case diagnosed preoperatively from cytological and histological findings.<br>Case : A 62-year-old woman was seen for suspected cervical clear cell adenocarcinoma found in a Pap test. A readily bleeding polypoid tumor found arising in the cervical canal was resected. Cytologically, tumor cells had round nuclei, a prominent nucleolus, and clear cytoplasm, arranged in sheet-like, glandular, and “mirror ball” patterns. Histologically, the tumor consisted of clear or “hobnail” cells in papillary, tubocystic, or solid patterns. Radical hysterectomy with bilateral salpingo-oophorectomy including pelvic lymph node dissection showed that, grossly, the uterine cervix wall had no residual tumor. Histologically, no residual cancer was seen.<br>Conclusion : Early-stage cervical adenocarcinoma is difficult to diagnose. Our case may have been found and treated early thanks to exophytic growths such as an endocervical polyp and cytological features.
Journal
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- The Journal of the Japanese Society of Clinical Cytology
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The Journal of the Japanese Society of Clinical Cytology 51 (2), 143-146, 2012
The Japanese Society of Clinical Cytology
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Details 詳細情報について
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- CRID
- 1390282679672925440
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- NII Article ID
- 130004513129
- 10030126403
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- NII Book ID
- AN00198721
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- ISSN
- 18827233
- 03871193
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed