原创力文档coexistence of early microinvasive endometrioid adenocarcinoma and cin3 in the uterine cervix in a 32-year-old japanese woman共存的早期microinvasive endometrioid子宫颈腺癌和cin3在32岁的日本女人.pdfVIP
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coexistence of early microinvasive endometrioid adenocarcinoma and cin3 in the uterine cervix in a 32-year-old japanese woman共存的早期microinvasive endometrioid子宫颈腺癌和cin3在32岁的日本女人
Terada Diagnostic Pathology 2011, 6:51
/content/6/1/51
CASE REPORT Open Access
Coexistence of early microinvasive endometrioid
adenocarcinoma and CIN3 in the uterine cervix in
a 32-year-old Japanese woman
Tadashi Terada 1,2
Abstract
Simultaneous occurrence of early microinvasive endometrioid adenocarcinoma (EMEA) and CIN 3 in the uterine
cervix is very rare in Japan. A 32-year-old Japanese woman was pointed out to have atypical cells in the cervical
cytology. Colposcopic examination revealed irregular lesions in the cervix, and a biopsy showed simultaneous
EMEA and CIN3. The EMEA was grade I and CIN3 corresponded to severe dysplasia/carcinoma in situ.
Hysterectomy and lymph nodes dissection were performed. Grossly, mucosal irregularity and erosion were seen in
the cervix. No tumor formation was recognized. The cervix was examined by serial sections. Microscopically, there
were a tiny adenocarcinoma (0.5 cm in diameter and 0.3 cm in depth) and broad areas of CIN3. The
adenocarcinoma was EMEA without mucins. The EMEA was FIGO stage 1A1. Immunohistochemically, the EMEA
was positive for pancytokeratins (AE1/2 +++, CAM5.2 ++), cytokeratin (CK) 34b E12 +, CK5/6 +, CK7 +, CK18 +++,
CK19 ++, CA19-9 +, CA125 +++, p53 +, ER +++, PgR +++, while it was negative for CK8, CK14, CK20, EMA,
vimentin, CEA, desmin, smooth muscle actin, p63, chromogranin, synaptophysin, CD56, CD68, HER2/neu, MUC1,
MUC2, MUC5AC, and MUC6. The CIN 3 was positive for pancytokeratins (AE1/2 +++, CAM5.2 +), cytokeratin (CK)
34bE12 +++, CK5/6 +++, CK7 +, EMA, CA19-9 +, CA125 +, p53 +, p63 +++, ER +++, and MUC1 +, while it was
negative for CK8, CK14, CK18, CK19, CK20, vimentin, CEA, desmin, smooth muscle actin, chromogranin,
synaptophysin, CD56, CD68, PgR, HER2/neu, MUC2, MUC5AC and MUC6. The lymph nodes showed no metastatic
lesions (0/34). In conclus
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