| Arias-Stella reaction in an adenomyomatous polyp of the uterus. | |
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MedLine Citation:
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PMID: 17230300 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe a rare case of an Arias-Stella reaction in an adenomyomatous polyp of the endometrium found in the first trimester of pregnancy. A 33-year-old Japanese woman, gravida 1, para 1, presented for an initial prenatal examination at 6-week gestation; ultrasound revealed a myoma-like solid mass in the cervical canal. An abnormal Papanicolaou's smear (highly suspicious of adenocarcinoma) prompted the resection of this pedunculated polyp. Histologically, the musculature located in the center of the polyp was covered by the endometrium; numerous glands within both the endometrium and the musculature exhibited an Arias-Stella reaction. This explains the result of Papanicolaou's smear, because subsequent smears - both intrapartum and postpartum - were negative. To our knowledge, this is the first reported incident of an Arias-Stella reaction in an adenomyomatous polyp. This could be one of the diagnostic pitfalls in Papanicolaou's smears taken during pregnancy. |
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Authors:
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Hirokazu Sato; Hiroshi Nanjo; Hidenori Tanaka; Toshinobu Tanaka |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta obstetricia et gynecologica Scandinavica Volume: 86 ISSN: 0001-6349 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2007 |
Date Detail:
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Created Date: 2007-01-18 Completed Date: 2007-02-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: Denmark |
Other Details:
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Languages: eng Pagination: 106-8 Citation Subset: IM |
Affiliation:
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Division of Obstetrics and Gynecology, Department of Reproductive and Developmental Medicine, Akita University School of Medicine, Akita, Japan. satoh@obgyn.med.akita-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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diagnosis*,
pathology,
surgery Adult Cervix Uteri / cytology* Diagnosis, Differential Female Humans Pregnancy Pregnancy Complications, Neoplastic / diagnosis*, pathology, surgery Pregnancy Trimester, First Uterine Cervical Neoplasms / diagnosis*, pathology, surgery Vaginal Smears |
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