Adenosarcoma of the uterine cervix presenting as a cervical polyp

Hino, Akiko; Hirose, Takonori; Seki, Kunlhiko; Uehara, Hisanori; Sano, Nobuya

doi:10.1111/j.1440-1827.1998.tb03965.x

Cited by 10 publications

(7 citation statements)

References 13 publications

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“…Adenoleiomyoma showed both plump smooth muscle cells in whorling pattern and glandular component. Nabothian cysts were cystic structures which showed atrophied lining epithelium and cystic fluid inside (Figure 8 There are numerous categories of lesions ranging inflammatory to benign to malignancy which may present clinically as polypoidal lesions and many case reports have been published [5][6][7][8][9][10][11][12][13] . The risk of cervical polyps harboring malignant foci is one possibility and is of very minimal chance.…”

Section: Resultsmentioning

confidence: 99%

“…These include Adenomyoma, Embryonal rhabdomyosarcoma, Leiomyoma, and even lesions like Schwannoma, Nabothian cyst, Decidualized stroma, Plasmacytoma, Villoglandular papillary adenocarcinoma, Adenosarcoma, Non-hodgkin's lymphoma, Aggressive angiomyxoma, Gliosis of cervix etc. [5][6][7][8][9][10][11][12][13] . These may be polyps from ectocervix or polyps from endocervix which may be labeled as ectocervical polyps and endocervical polyps respectively.…”

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confidence: 99%

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Clinicopathological Analysis of Polypoid Lesions of Cervix

Sidhalingreddy¹,

Biradar²,

Akhila³

et al. 2013

jemds

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BACKGROUND:Polypoidal lesions of cervix show various morphological spectrum ranging from inflammatory to neoplastic lesions. In addition to endocervical polyps there are many other polypoidal lesions that appear clinically like endocervical polyps. They are often secondarily inflamed or ulcerated and contain foci of squamous metaplasia. AIM: To study clinicopathological aspects of cervical polypoid lesions. OBJECTIVES: To study the histopathological features of cervical polypoid lesions and to assess their associated clinical features and age wise incidence. MATERIALS AND METHODS: All specimens mentioned as cervical polyp based on the clinical appearance were included in the study. All such polyps from cervix/cervical os were removed and sent for histopathological examination to our department. In some cases we got complete polyp and in some fragments of polyp. All these Specimens obtained with relevant clinical data were formalin fixed and processed with standard procedures. Sections were stained with routine Haematoxylin and eosin stain. We studied various histopathological features and analysed for associated clinical features. RESULTS: During the study period we got 22 cases of cervical polyps. They are common between 20-50yrs. Common associated clinical features were history of bleeding per vagina or white discharge per vagina. The most common type of polypoidal lesion in this study was classical Endocervical polyp(13). Most of them showed cystic changes and nearly half of endocervical polyps showed squamous metaplasia . Other polypoidal lesions we encountered in this study were Leiomyoma (3), Adenomatous polyp (1), Adenoleiomyoma (1) and Nabothian cyst (2). CONCLUSION: It appears that the entities such as Polypoidal endocervicitis , Endocervical polyp and Fibroepithelial polyp belong to spectrum of a single entity in the pathogenesis process with Polypoidal endocervicitis as initial lesion, Endocervical polyp as intermediate lesion and Fibroepithelial polyp as a last stage in the pathogenesis process of same entity. They need to be removed in symptomatic cases and in cases where there is high probability of harboring malignant foci. Regular followup can be done in other cases. Further large studies needs to be conducted to evaluate various aspects of endocervical polyps.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Clinicopathological Analysis of Polypoid Lesions of Cervix

Sidhalingreddy¹,

Biradar²,

Akhila³

et al. 2013

jemds

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“…2,5 Extraendometrial variants, originating in the ovary, adnexa, or myometrium, are much less common. 1-4,6 -12 Of the 14 reported cases of ovarian adenosarcoma in the literature, all of the patients experienced pelvic spread or recurrence, and two died of the disease after 16 mo or 6 yr postoperatively.…”

Section: Discussionmentioning

confidence: 98%

Ascitic fluid cytology of adenosarcoma of the ovary: A case report

Hirakawa

Kobayashi

Miki

et al. 2001

Diagnostic Cytopathology

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Extrauterine adenosarcoma is very rare and originates in the ovary, adnexa, or myometrium. Cytologic study of ascites is very important to determine clinical staging of malignant ovarian tumors and provide adequate therapy for recurrence. The cytomorphologic features of adenosarcoma have been only rarely described. A 77-yr-old woman visited a hospital with a complaint of lower abdominal pain for 1 mo. A tumor originating from the right adnexa in the pelvis, and involving the rectum, was found in surgery. In the ascitic fluid cytology, a few dispersed tumor cells with large cytoplasm and nuclei were oval-shaped, with nuclear invagination. The chromatin was finely granular; one or two nucleoli were conspicuous. To our knowledge, this is the fifteenth reported case of adenosarcoma of the ovary, and there have been no prior reports describing the cytological features of ascitic fluid cells in adenosarcoma of the ovary.

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“…Sir : There are a few reported cases with immunohistochemical analyses of adenosarcoma; 1,2 however, p53 protein and Ki67 immunostaining has never been done in such a case. Here we present a case of ovarian adenosarcoma, with aggressive clinical behaviour, and its immunohistochemical profile.…”

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confidence: 99%