Surface epithelial changes in uterine endometrioid carcinoma mimicking micropapillary serous borderline tumor of ovary report of two cases and review of the literature 英文参考文献.docVIP

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Surface epithelial changes in uterine endometrioid carcinoma mimicking micropapillary serous borderline tumor of ovary report of two cases and review of the literature 英文参考文献.doc

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Surface epithelial changes in uterine endometrioid carcinoma mimicking micropapillary serous borderline tumor of ovary report of two cases and review of the literature 英文参考文献

Singhetal.DiagnosticPathology2011,6:13 /content/6/1/13 CASE REPORT OpenAccess “Surfaceepithelialchanges”inuterine endometrioidcarcinomamimicking micropapillaryserousborderlinetumorofovary: reportoftwocasesandreviewoftheliterature KamaljeetSingh1,RochelleASimon2,CunxianZhang2,MRuhulQuddus2* Abstract Weencounteredtwocasesofendometrioidcarcinomaofuteruswithextensivesurfaceepithelialchanges(SECs) mimickingserousborderlinetumor(SBT)oftheovary.Thefirstcasewasawell-differentiatedendometrioid carcinomaarisinginabackgroundofcomplexatypicalhyperplasia.Thesecondcasewasmoderately-differentiated endometrioidcarcinomawithsquamousandmucinousdifferentiation.TheSECscomprisedofthinmicroapapillae withouthierarchalbranching,linedbycuboidalcellswitheosinophiliccytoplasmandmildtomoderatenuclear atypia.TheseareaswerereminiscentofSBTsofovary,micropapillarytype.Thisreportexpandstheexisting spectrumofSECs.Serousborderlinetumorofovarylikesurfaceepithelialchangescouldbemisleadingifpresent inanendometrialbiopsyorcurettings.Therefore,knowledgeofthismorphologicvariationisimportant. Introduction carcinoma showing exuberant SECs, histologically Thesurface epithelial changes (SECs), typically seenin mimickingserousborderlinetumor(SBT)ofovary.This well to moderately differentiated endometrioid carci- is unusual and has not been described in literature. nomaofendometrium,arehistologicallydefinedbybet- Wediscuss bothcases andreview associated literature tercellular differentiation andanarchitectural pattern ofSEC. different from underlying carcinoma. The SECs can occurasmicroglandular,solidsyncytialorasmixtureof Casereport1 bothpatterns[1].Themicroglandularpatternischarac- A56year-oldfemaleunderwenttotalhysterectomywith terized bysmall, tightly packed round glands, lined by bilateralsalpingo-oophorectomyforuterineendometrioid cuboidaltocolumnarcellscontainingabundanteosino- carcinoma.Themacroscopicexaminationshoweda9.0× philic cytoplasm with round tooval nuclei, mimicking 5.0