Kinoshita Yuichi, Takasu Kosho, Adachi Yasushi, Yuri Takashi, Ikuta Akiko, Shikata Nobuaki
Department of Cytopathology, Kansai Medical University Takii Hospital, Moriguchi, Osaka, Japan.
Diagn Cytopathol. 2011 Mar;39(3):200-3. doi: 10.1002/dc.21397.
In contrast to endometrioid endometrial adenocarcinoma (EA), endometrial clear cell adenocarcinoma (ECCA) is rare and shows a clinically aggressive potential, resulting in a poor prognosis. Therefore, the early diagnosis of ECCA is crucial for the treatment of patients bearing the tumor. Here, we report two cases of ECCA diagnosed by cytological examination. Case 1 was a 67-year-old female, while case 2 was a 68-year-old female. In both cases, tumors of the corpus uteri were identified, and they were diagnosed as ECCA on cytological examination with specimens derived from endometrial brushing. The diagnosis was confirmed by the histological examination of the surgical specimens.
与子宫内膜样腺癌(EA)不同,子宫内膜透明细胞腺癌(ECCA)较为罕见,具有临床侵袭性,预后较差。因此,ECCA的早期诊断对于肿瘤患者的治疗至关重要。在此,我们报告两例经细胞学检查确诊的ECCA病例。病例1为67岁女性,病例2为68岁女性。在这两例病例中,均发现子宫体部有肿瘤,经子宫内膜刷取标本进行细胞学检查诊断为ECCA。手术标本的组织学检查证实了诊断。