Document Detail


Endocervical adenocarcinomas associated with lobular endocervical glandular hyperplasia: a report of four cases with histochemical and immunohistochemical analyses.
MedLine Citation:
PMID:  15761489     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report on four cases of endocervical adenocarcinoma associated with lobular endocervical glandular hyperplasia using histochemical and immunohistochemical analyses. The patients ranged in age from 59 to 67 years (mean 62 years). Chief complaints were watery vaginal discharge in two cases, genital bleeding in one and no subjective symptoms in one. Cytological examinations of the cervical smears revealed adenocarcinoma cells and benign-looking glandular cells with intracytoplasmic golden-yellow mucin in all cases. Radical hysterectomy was performed in three patients, and simple total hysterectomy was performed in one. From surgical specimens, three tumors were diagnosed as mucinous adenocarcinoma and one was adenocarcinoma in situ. All adenocarcinomas were located proximally on the cervix, and did not involve the transformation zone. Adjacent to carcinoma tissues in the cervix, lobular endocervical glandular hyperplasia was detected. The cells of lobular endocervical glandular hyperplasia were dominantly positive with neutral mucin, and immunohistochemistry revealed that these cells had prominent pyloric gland mucin (HIK1083). Focal immunopositivity for pyloric mucin was also observed in three adenocarcinomas. Either CEA or p53 were immunopositive in all adenocarcinomas and negative in the tissues of lobular endocervical glandular hyperplasia. Histopathological features of the present cases suggest that some endocervical adenocarcinomas may originate from lobular endocervical glandular hyperplasia.
Authors:
Tetsuo Kondo; Akihiko Hashi; Shin-ichi Murata; Tadao Nakazawa; Tsutomu Yuminamochi; Masatoshi Nara; Kazuhiko Hoshi; Ryohei Katoh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc     Volume:  18     ISSN:  0893-3952     ISO Abbreviation:  Mod. Pathol.     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-19     Completed Date:  2005-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806605     Medline TA:  Mod Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1199-210     Citation Subset:  IM    
Affiliation:
Department of Pathology, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Yamanashi, Japan. ktetsuo@yamanashi.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / complications*,  metabolism,  pathology*
Aged
Diagnosis, Differential
Female
Gastric Mucosa / metabolism,  pathology
Humans
Hyperplasia / complications*,  metabolism,  pathology*
Immunohistochemistry
Middle Aged
Mucins / metabolism
Precancerous Conditions / metabolism,  pathology
Uterine Cervical Neoplasms / complications*,  metabolism,  pathology*
Chemical
Reg. No./Substance:
0/Mucins

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


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