Cytologic Analysis of Adenocarcinoma of the Cervicovaginal Smears

자궁경부질 도말상 선암종의 세포학적 분석

  • Kim, Jung-Yeon (Department of Diagnostic Pathology, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Cho, Hye-Jae (Department of Diagnostic Pathology, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Cho, Kyung-Ja (Department of Pathology, Korea Cancer Center Hospital) ;
  • Lee, Hong-Kyoon (Department of Obstetrics and Gynecology, Sanggye Paik Hospital, College of Medicine, Inje University)
  • 김정연 (인제대학교 상계백병원 진단병리과) ;
  • 조혜제 (인제대학교 상계백병원 진단병리과) ;
  • 조경자 (원자력병원 해부병리과) ;
  • 이홍균 (인제대학교 상계백병원 산부인과)
  • Published : 1998.12.30

Abstract

We have investigated the cervicovaginal smears in order to define the cytologic features of uterine adenocarcinomas. Total 22 cases were reviewed(12 cases from the Sanggye Paik hospital, Inje university and 10 cases from the Korea Cancer Center Hospital) from January 1992 to December 1997. Five cases were endometrial adenocarcinomas and the remaining 17 cases were cervical adenocarcinomas. Seventeen cases of cervical adenocarcinomas were divided into endometrioid(6 cases), endocervical(7 cases), mixed endometrioid and endocervical(1 case), papillary (2 cases), and adenosquamous(1 case) carcinomas. The background of endocervical adenocarcinoma was hemorrhagic or inflammatory. The tumor diathesis was less prominent than that of the squamous cell carcinoma. The prominent features of the endocervical type adenocarcinomas were large and loose clusters, large intracytoplasmic vacuoles, and prominent overlapping and peripheral palisading of nuclei. In contrast, the endometrioid adenocarcinomas showed small and compact clusters, and small intracytoplasmic vacuoles. The detection rate of endometrial adenocarcinoma was lower than that of the endocervical adenocarcinoma.

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