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Primary squamous cell carcinoma of the endometrium
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- KATAKURA Makiho
- Department of Obstetrics and Gynecology, Fukushima Medical University
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- SOEDA Shu
- Department of Obstetrics and Gynecology, Fukushima Medical University
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- TASAKI Kazuhiro
- Department of Diagnostic Pathology, Fukushima Medical University
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- FURUKAWA Sigenori
- Department of Obstetrics and Gynecology, Fukushima Medical University
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- WATANABE Takafumi
- Department of Obstetrics and Gynecology, Fukushima Medical University
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- NISHIYAMA Hiroshi
- Department of Obstetrics and Gynecology, Fukushima Medical University
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- MORIMURA Yutaka
- Department of Gynecology, Nothern Fukushima Medical Center
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- FUJIMORI Keiya
- Department of Obstetrics and Gynecology, Fukushima Medical University
Bibliographic Information
- Other Title
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- 子宮体部原発扁平上皮癌の 1 例
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Description
Background : Primary squamous cell carcinoma of the endometrium is rare and is usually at an advanced stage even at diagnosis. Herein, we report a case of endometrial squamous cell carcinoma that was diagnosed by repeated endometrial cytology.<br>Case : A 72-year-old woman visited our hospital complaining of vaginal discharge. Ultrasonography and MRI revealed no hyperplastic endometrial lesions. Cervical cytology showed slightly atypical squamous cells and endometrial cytology showed normal atrophic endometrium with atypical squamous cells. Colposcopy showed unsatisfactory colposcopic findings and endometrial biopsy revealed atypical squamous cells ; therefore, we determined that the origin of the specimen was the uterine cervix and made the diagnosis of CIN1. The cytologic features of the cervix and endometrium changed to squamous cell carcinoma-like, therefore, conization was performed using a harmonic scalpel. Histological examination of the conization biopsy specimen did not reveal any carcinoma or atypical cells. After conization, the abnormal endometrial cytology findings persisted, therefore, hysterectomy was performed. Based on histopathological examination of the resected specimen?, the patient was diagnosed as having stage 1a endometrial squamous cell carcinoma.<br>Conclusion : When atypical squamous cells are observed on endometrial cytology, endometrial squamous cell carcinoma should be considered in the differential diagnosis.
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 52 (6), 568-572, 2013
The Japanese Society of Clinical Cytology
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Details 詳細情報について
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- CRID
- 1390282679673895296
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- NII Article ID
- 10031203532
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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