Koc Nermin, Arinkan Sevcan Arzu, Ozbay Nurver Ozel, Selcuk Selcuk
Department of Pathology, Zeynep Kamil Maternity and Pediatric Research and Training Hospital, Istanbul, Turkey.
Department of Obstetrics and Gynecology, Zeynep Kamil Maternity and Pediatric Research and Training Hospital, Istanbul, Turkey.
J Pathol Transl Med. 2018 Jan;52(1):56-60. doi: 10.4132/jptm.2017.04.08. Epub 2018 Jan 15.
Colloid carcinoma, which is a very rare tumor of the uterine cervix, is composed of an excessive amount of mucus and a relative paucity of tumoral glandular cells within them. Herein, we report a rare case of colloid carcinoma of the cervix with adenocarcinoma (AIS), intestinal and usual types, and endocervical adenocarcinoma (usual type) components. We also discuss the morphological and immunohistochemical characteristics of this tumor. A 51-year-old woman was referred to our outpatient clinic with the symptom of genital bleeding lasting for 5 months. She had a cervix surrounded by an irregular tumor with a diameter of 5 cm. The colloid carcinoma cells were positive for MUC2, MUC5AC, and cytokeratin (CK) 7, focal positive for CDX2, and negative for MUC6 and CK20. Also, the intestinal type AIS showed a similar staining pattern. Colloid carcinoma cells producing mucin showed an intestinal phenotype and AIS. The intestinal type can be considered as a precursor lesion of colloid carcinoma.
黏液癌是一种非常罕见的子宫颈肿瘤,由大量黏液和其中相对较少的肿瘤腺细胞组成。在此,我们报告一例罕见的宫颈黏液癌病例,其具有腺癌(原位腺癌),包括肠型和普通型,以及宫颈内膜腺癌(普通型)成分。我们还讨论了该肿瘤的形态学和免疫组化特征。一名51岁女性因持续5个月的生殖器出血症状转诊至我们的门诊。她的宫颈被一个直径5厘米的不规则肿瘤包围。黏液癌细胞MUC2、MUC5AC和细胞角蛋白(CK)7呈阳性,CDX2局灶性阳性,MUC6和CK20呈阴性。此外,肠型原位腺癌显示出类似的染色模式。产生黏液的黏液癌细胞表现出肠型表型和原位腺癌。肠型可被视为黏液癌的前驱病变。