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Libri Oncologici : Croatian Journal of Oncology, Vol. 49 No. 2-3, 2021.

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https://doi.org/10.20471/LO.2021.49.02-03.20

Atypical glandular cells in pap smear as a primarily presentation of ovarian serous borderline tumor

Danijela Jurič orcid id orcid.org/0000-0002-6589-1567 ; Department of Pathology and Cytology, University Hospital Center Zagreb, Zagreb, Croatia
Ana Barišić orcid id orcid.org/0000-0001-9101-6232 ; Department of Pathology and Cytology, University Hospital Center Zagreb, Zagreb, Croatia
Sanda Rajhvajn orcid id orcid.org/0000-0001-8925-2842 ; Department of Pathology and Cytology, University Hospital Center Zagreb, Zagreb, Croatia
Vesna Mahovlić ; Department of Pathology and Cytology, University Hospital Center Zagreb, Zagreb, Croatia
Davor Petrović ; Department of Pathology and Cytology, University Hospital Center Zagreb, Zagreb, Croatia
Marija Macan ; Department of Pathology and Cytology, University Hospital Center Zagreb, Zagreb, Croatia
Franjo Grgić ; Department of Gynecology and Obstetrics, University Hospital Center Zagreb, Zagreb, Croatia

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Abstract

The Pap test is designed as a screening test to detect primarily carcinoma of the cervix and its precursors, most often of squamous type. Rarely atypical or malignant cells found in cervical smear can be indication for the existence of an extrauterine disease. We present a case of a 26 year old woman with very small asymptomatic ovarian bilateral borderline tumors whose diagnosis was triggered by finding of atypical glandular cells with psammoma bodies on Pap smear. She had a history of abnormal Pap smears and was admitted to our Hospital for colposcopy. Pap smear was taken and reported as atypical glandular cells (AGC) with psammoma bodies. Colposcopically directed biopsy along with an endocervical curettage showed no abnormalities as well as transvaginal ultrasound examination. Three months later control Pap smear confirmed AGC with psammoma bodies (suggestive of endometrial or serous origin), ultrasound showed the presence of indistinctive, hyperechoic mass 2 cm in diameter in the left ovary along with slightly elevated CA-125 and diagnostic hysteroscopy and laparoscopy was performed. At laparascopy, both ovaries had surface cauliflower like papillary projections measuring up to 3 cm. A histological examination revealed bilateral serous borderline tumor.

Keywords

Pap test; atypical glandular cells; psammoma bodies; serous borderline tumor

Hrčak ID:

267972

URI

https://hrcak.srce.hr/267972

Publication date:

22.12.2021.

Article data in other languages: croatian

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