Colloid Carcinoma of the Uterine Cervix and Its Immunohistochemical Analysis: A Case Report
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Colloid carcinoma, which is a very rare tumor of the uterine cervix, is composed of an excessive amount of mucus and a relative paucity of tumoral glandular cells within them. Herein, we report a rare case of colloid carcinoma of the cervix with adenocarcinoma in situ (AIS), intestinal and usual types, and endocervical adenocarcinoma (usual type) components. We also discuss the morphological and immunohistochemical characteristics of this tumor. A 51-year-old woman was referred to our outpatient clinic with the symptom of genital bleeding lasting for 5 months. She had a cervix surrounded by an irregular tumor with a diameter of 5 cm. The colloid carcinoma cells were positive for MUC2, MUC5AC, and cytokeratin (CK) 7, focal positive for CDX2, and negative for MUC6 and CK20. Also, the intestinal type AIS showed a similar staining pattern. Colloid carcinoma cells producing mucin showed an intestinal phenotype and AIS. The intestinal type can be considered as a precursor lesion of colloid carcinoma.
Abstract
Colloid carcinoma, which is a very rare tumor of the uterine cervix, is composed of an excessive amount of mucus and a relative paucity of tumoral glandular cells within them. Herein, we report a rare case of colloid carcinoma of the cervix with adenocarcinoma in situ (AIS), intestinal and usual types, and endocervical adenocarcinoma (usual type) components. We also discuss the morphological and immunohistochemical characteristics of this tumor. A 51-year-old woman was referred to our outpatient clinic with the symptom of genital bleeding lasting for 5 months. She had a cervix surrounded by an irregular tumor with a diameter of 5 cm. The colloid carcinoma cells were positive for MUC2, MUC5AC, and cytokeratin (CK) 7, focal positive for CDX2, and negative for MUC6 and CK20. Also, the intestinal type AIS showed a similar staining pattern. Colloid carcinoma cells producing mucin showed an intestinal phenotype and AIS. The intestinal type can be considered as a precursor lesion of colloid carcinoma.
참고문헌 (11)
- Shintaku M, "Colloid carcinoma of the intestinal type in the uterine cervix: mucin immunohistochemistry", Pathol Int, 60, pp.119~124 (2010)[DOI]
- Ishida M, "Colloid carcinoma of the uterine cervix: a case report with respect to immunohistochemical analyses", Int J Gynecol Pathol, 33, pp.248~252 (2014)[DOI]
- Walker AN, "Unusual variants of uterine cervical carcinoma", Pathol Annu, 22, pp.277~310 (1987)
- Hurt WG, "Adenocarcinoma of the cervix: histopathologic and clinical features", Am J Obstet Gynecol, 129, pp.304~315 (1977)[DOI]
- Kurman RJ, "WHO classification of tumors of female reproductive organs" (2014)
- Young RH, "Endocervical adenocarcinoma and its variants: their morphology and differential diagnosis", Histopathology, 41, pp.185~207 (2002)[DOI]
- Riethdorf L, "Differential expression of MUC2 and MUC5AC in benign and malignant glandular lesions of the cervix uteri", Virchows Arch, 437, pp.365~371 (2000)[DOI]
- Baker AC, "Mucinous expression in benign and neoplastic glandular lesions of the uterine cervix", Arch Pathol Lab Med, 130, pp.1510~1515 (2006)
- Bu XD, "Altered expression of MUC2 and MUC5AC in progression of colorectal carcinoma", World J Gastroenterol, 16, pp.4089~4094 (2010)[DOI]
- McCluggage WG, "Intestinaltype cervical adenocarcinoma in situ and adenocarcinoma exhibit a partial enteric immunophenotype with consistent expression of CDX2", Int J Gynecol Pathol, 27, pp.92~100 (2008)[DOI]
- Sullivan LM, "Comprehensive evaluation of CDX2 in invasive cervical adenocarcinomas: immunopositivity in the absence of overt colorectal morphology", Am J Surg Pathol, 32, pp.1608~1612 (2008)[DOI]
