대한세포병리학회지 (The Korean Journal of Cytopathology)

대한세포병리학회 (The Korean Society for Cytopathology)
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자궁경부 Adenoma Malignum의 세포학적 소견 - 1예 보고 -

Cytologic Features of Adenoma Malignum of the Uterine Cervix - A Case Report -

  • 최현주 (가톨릭대학교 의과대학 임상병리학교실) ;
  • 김영신 (가톨릭대학교 의과대학 임상병리학교실) ;
  • 이교영 (가톨릭대학교 의과대학 임상병리학교실) ;
  • 강창석 (가톨릭대학교 의과대학 임상병리학교실) ;
  • 심상인 (가톨릭대학교 의과대학 임상병리학교실)
  • Choi, Hyun-Joo (Department of Clinical Pathology, Catholic University College of Medicine) ;
  • Kim, Young-Shin (Department of Clinical Pathology, Catholic University College of Medicine) ;
  • Lee, Kyo-Young (Department of Clinical Pathology, Catholic University College of Medicine) ;
  • Kang, Chang-Suk (Department of Clinical Pathology, Catholic University College of Medicine) ;
  • Shim, Sang-In (Department of Clinical Pathology, Catholic University College of Medicine)
  • 발행 : 1998.12.30
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초록

Adenoma malignum is an extremely well-differentiated variant of cervical adenocarcinoma in which the cells composing the tumor lack the typical cytological features of malignancy. The prognosis of this rare tumor is poor in spite of high degree of differentiation. The cytologic characteristics are extremely bland so frequently make a confusion of adenoma mailgnum with endocervical glandular hyperplasia. We report a case of adenoma malignum in a 35-year-old woman who complained of mucoid vaginal discharge and vaginal bleeding. The cervicovaginal smear showed endocervical cells exhibiting a spectrum of atypical chances. The cells were arranged in multilayered strips and monolayered sheets. Individual cells ranged from cuboidal to columnar; typically the columnar cells had abundant lacy or vacuolated cytoplasm. The smear showed the majority of only atypical cells and small numbers of frankly malignant cells.

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