Prethodno priopćenje
Villoglandular Papillary Adenocarcinoma of the Uterine Cervix with Aggressive Clinical Course – A Case Report
Roberta Rubeša-Mihaljević
; Department of Gynecological Cytology, University Department of Gynecology and Obstetrics, University Hospital Center Rijeka, Rijeka, Croatia
Danijela Vrdoljak-Mozetič
; Department of Gynecological Cytology, University Department of Gynecology and Obstetrics, University Hospital Center Rijeka, Rijeka, Croatia
Damjana Verša Ostojić
; Department of Gynecological Cytology, University Department of Gynecology and Obstetrics, University Hospital Center Rijeka, Rijeka, Croatia
Snježana Štemberger-Papić
; Department of Gynecological Cytology, University Department of Gynecology and Obstetrics, University Hospital Center Rijeka, Rijeka, Croatia
Nebojša Sindik
; University Department of Gynecology and Obstetrics, University Hospital Center Rijeka, Rijeka, Croatia
Maja Krašević
; Department of Pathology, School of Medicine, University of Rijeka, Rijeka, Croatia
Sažetak
Villoglandular papillary adenocarcinoma (VGA) of cervix is an uncommon but well recognized histologic subtype of cervical adenocarcinoma which usually affects young women. Based on the favorable outcomes reported in most previous cases the tumor is generally considered to have an indolent clinical course with excellent prognosis. We present a case of a 22-year-old woman admitted at our Department for glandular abnormality on cervical smear and episodes of vaginal discharge. In the Pap smear, the cytological features were suspicious but not diagnostic of adenocarcinoma, therefore reported as atypical glandular cells (AGC). Histological examination confirmed VGA associated with lymphovascular space invasion. The patient underwent radical operative procedure. Intraoperative cytologic examination detected pelvic lymph nodes metastasis. The patient was confirmed to be in an advanced stage – III B (FIGO). During a two years follow-up period a rapid dissemination of the tumor occurred and resulted with a fatal outcome. Although VGA has been reported to have a favorable prognosis, several cases with lymph node involvement have already been described. Cervical smears examination would be helpful for an early diagnosis of VGA, however the cytologic recognition is often difficult. Further investigation of the pathogenesis, diagnosis and therapy of the tumor is needed.
Ključne riječi
cervical cancer; villoglandular adenocarcinoma; cervical cytology
Hrčak ID:
51281
URI
Datum izdavanja:
10.3.2010.
Posjeta: 1.475 *