Muellerian adenosarcoma of the uterus. Report of two cases.
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- FUKASAWA Yuichiro
- Department of Pathology, Sapporo City General Hospital
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- NAKAMURA Atsushi
- Department of Pathology, Sapporo City General Hospital
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- KOBAYASHI Katsumi
- Department of Pathology, Sapporo City General Hospital
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- TANIGUCHI Masaru
- Department of Pathology, Sapporo City General Hospital
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- NOZAKI Masayuki
- Department of Pathology, Sapporo City General Hospital
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- TATENO Masatoshi
- Department of Pathology, Sapporo City General Hospital
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- SATO Hidetoshi
- Department of Pathology, Sapporo City General Hospital
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- YAMADA Yoshitaka
- Department of Obstetrics and Gynecology, Sapporo City General Hospital
Bibliographic Information
- Other Title
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- 子宮のMuellerian adenosarcomaの2例
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Abstract
Two cases of müllerian adenosarcoma of the uterine body are reported. Our report aims at describing the cytologic features of this rare tumor. Patient 1 was a 67-yearold woman who underwent total hysterectomy because of abnormal vaginal bleeding of three months duration. The resected specimen revealed a cauliflower-like tumor (7×7×3 cm) growing into the intrauterine cavity. Patient 2 was a 55-year-old woman with a large intravaginal tumor. The hysterectomy material showed a pedunculated tumor (12×5×6 cm) protruding from the external os of the uterus. The latter patient died of extensive lung metastasis 6 years after surgery. Both cases were histologically diagnosed as adenosarcoma. Preoperative endometrial cytology and imprinting tumor cytology revealed various types of epithelial cells such as endometrial gland-like, cervical gland-like, squamous metaplastic and tissue repair cells, and there were no definite findings of malignancy. As epithelia of müllerian origin are capable of differentiating into various morphological appearances, the possibility of adenosarcoma must be considered when these unusual epithelial cells appear on endometrial cytology in postmenopausal women. Recognition of sarcomatous atypical cells is the key diagnostic finding. Repeat of cytology and biopsy should be performed when numerous clustering interstitial cells are found, because the diagnostic sarcomatous cells may appear only rarely.
Journal
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- The Journal of the Japanese Society of Clinical Cytology
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The Journal of the Japanese Society of Clinical Cytology 31 (6), 1053-1057, 1992
The Japanese Society of Clinical Cytology
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Details 詳細情報について
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- CRID
- 1390001204691027968
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- NII Article ID
- 130003758399
- 110001425622
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- NII Book ID
- AN00198721
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- ISSN
- 18827233
- 03871193
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed