Gupta Nalini, Bhar Vikrant, Dey Pranab, Rajwanshi Arvind, Suri Vanita
Department of Cytology and Gynecologic Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
J Cytol. 2014 Jul;31(3):165-7. doi: 10.4103/0970-9371.145654.
Cervical sample is routinely taken to identify squamous dysplastic lesions of the cervix. Glandular lesions are far less commonly reported on cervical samples. The most common glandular lesion reported on cervical smear is endocervical adenocarcinoma, followed by endometrial adenocarcinoma. Direct sampling by Cervex brush is possible even in endometrial adenocarcinoma, if the tumor directly involves lower uterine segment/endocervical canal. Metastases to cervix are rare but have occasionally been reported in previous reports. We wish to highlight in this case, metastatic ovarian carcinoma directly sampled in cervical liquid-based cytology (LBC) sample, which mimicked cytomorphologically a well-differentiated endocervical adenocarcinoma. To the best of our knowledge, a similar case has not been previously published in SurePath LBC sample.
常规采集宫颈样本以识别宫颈鳞状发育异常病变。宫颈样本中腺性病变的报告则要少得多。宫颈涂片报告中最常见的腺性病变是宫颈管腺癌，其次是子宫内膜腺癌。如果肿瘤直接累及子宫下段/宫颈管，即使是子宫内膜腺癌，也可以用宫颈刷直接取样。宫颈转移很少见，但既往报告中偶尔有过报道。我们希望在本病例中强调，在宫颈液基细胞学（LBC）样本中直接取样的转移性卵巢癌，其细胞形态学上类似于高分化宫颈管腺癌。据我们所知，类似病例此前尚未在SurePath LBC样本中发表过。
