Seth Ankit, Agarwal Asha
Department of Pathology, Kasturba Hospital, Daryaganj, Delhi 2, India.
Indian J Pathol Microbiol. 2009 Oct-Dec;52(4):543-5. doi: 10.4103/0377-4929.56158.
Adenoid cystic carcinoma of uterine cervix is a rare tumor. Its origin is debatable. It has a high incidence in postmenopausal women but rarely can develop in patients under 40. An association with squamous cell carcinoma has been described. We report a case of adenoid cystic carcinoma of the endocervical canal with foci of squamous cell carcinoma in a 34-year-old suffering from menorrhagia associated with blood-stained vaginal discharge. Per vaginum and per speculum examination revealed a growth. Cervical biopsy showed bits of tissue, suggesting adenoid cystic carcinoma. Patient was operated upon and uterus with cervix sent for histopathological examination. We report this case because of its rarity, particularly in young patients, with description of illustrative pathology and discussion on the histological diagnosis.
宫颈腺样囊性癌是一种罕见的肿瘤。其起源存在争议。它在绝经后女性中发病率较高，但很少发生在40岁以下的患者中。有文献报道其与鳞状细胞癌有关。我们报告一例34岁患有月经过多伴血性白带的宫颈管腺样囊性癌病例，伴有鳞状细胞癌灶。经阴道和阴道镜检查发现有肿物。宫颈活检显示组织碎片，提示腺样囊性癌。患者接受了手术，切除的子宫及宫颈送去做组织病理学检查。我们报告此病例是因其罕见性，尤其是在年轻患者中，并对典型病理学进行描述以及对组织学诊断进行讨论。
