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子宫颈玻璃样细胞癌:一种罕见实体及文献综述

Glassy cell carcinoma of the uterine cervix: a rare entity and literature review.

作者信息

Richard Tenazoa-Villalobos José, Fermín Yan-Quiroz Edgar, Augusto Ordoñez-Chinguel, Leonor Prado-Cucho Sofia, Isac Miranda-Narro Adesman, Villoslada-Terrones Vladimir

机构信息

Oncologic Surgery Area of the Víctor Lazarte Echegaray Hospital - EsSalud, Trujillo13013, Peru.

School of Medicine, Universidad Privada Antenor Orrego, Trujillo 13008, Peru.

出版信息

Ecancermedicalscience. 2025 Feb 6;19:1842. doi: 10.3332/ecancer.2025.1842. eCollection 2025.

DOI:10.3332/ecancer.2025.1842
PMID:40248265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12003977/
Abstract

Glassy cell carcinoma is an extremely rare entity that occurs in 1% to 2% of all cases of cervical cancer, affects young women with greater predisposition, is related to poor prognosis, and distant metastasis. It correlates strongly with the presence of high-risk human papillomavirus (serotypes 16, 18 and 31) and histologically manifests as ground-glass cells, cytosol with vast granular and dense chromatin with large nuclei and protruding nucleoli. We present a 51-year-old woman who was diagnosed with glassy cell carcinoma of the cervix (before the latest edition of the World Health Organisation classification of tumours) in FIGO stage IB1 that was managed with radical hysterectomy and bilateral pelvic lymph node dissection, whose pathological result shows infiltration of the upper third of the vagina, changing the staging to FIGO IIA-1. She received adjuvant concurrent radiotherapy/chemotherapy with a good response, subsequent controls without signs of recurrence and remained currently alive.

摘要

玻璃样细胞癌是一种极其罕见的疾病,在所有宫颈癌病例中占1%至2%,更易发生于年轻女性,与预后不良及远处转移有关。它与高危型人乳头瘤病毒(血清型16、18和31)的存在密切相关,组织学上表现为毛玻璃样细胞,胞质内有大量颗粒和致密染色质,细胞核大且核仁突出。我们报告一名51岁女性,在世界卫生组织肿瘤分类最新版之前被诊断为宫颈玻璃样细胞癌,国际妇产科联盟(FIGO)分期为IB1期,接受了根治性子宫切除术和双侧盆腔淋巴结清扫术,其病理结果显示阴道上三分之一受侵,分期变为FIGO IIA-1期。她接受了辅助同步放化疗,反应良好,随后的复查未发现复发迹象,目前仍然存活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/12003977/a5d3f5ca3707/can-19-1842fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/12003977/03ca3b6bc1a5/can-19-1842fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/12003977/a5d3f5ca3707/can-19-1842fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/12003977/03ca3b6bc1a5/can-19-1842fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/12003977/a5d3f5ca3707/can-19-1842fig2.jpg

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Glassy cell carcinoma of the uterine cervix: a rare entity and literature review.子宫颈玻璃样细胞癌:一种罕见实体及文献综述
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本文引用的文献

1
Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.2022 年全球癌症统计数据:全球 185 个国家和地区 36 种癌症的发病率和死亡率全球估计数。
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A case of coexistent poorly differentiated adenosquamous carcinoma (glassy cell carcinoma), usual-type adenocarcinoma, and squamous cell carcinoma in situ of the cervix.
宫颈共存低分化腺鳞癌(玻璃样细胞癌)、普通型腺癌和原位鳞状细胞癌 1 例。
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Carcinomatous meningitis from recurrent glassy cell carcinoma of the uterine cervix-A case report.宫颈复发性玻璃样细胞癌致癌性脑膜炎 1 例报告。
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Glassy cell carcinoma of the uterine cervix: 20-year experience from a comprehensive cancer center.宫颈玻璃样细胞癌:综合性癌症中心 20 年经验。
Cancer Radiother. 2021 May;25(3):207-212. doi: 10.1016/j.canrad.2020.07.007. Epub 2021 Jan 3.
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Multimodality therapy of endometrial glassy cell carcinoma: a rare type of cancer.子宫内膜玻璃样细胞癌的多模态治疗:一种罕见的癌症类型。
BMJ Case Rep. 2020 Jun 28;13(6):e235164. doi: 10.1136/bcr-2020-235164.
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Clinical outcomes of advanced-stage glassy cell carcinoma of the uterine cervix: a need for reappraisal.晚期子宫颈玻璃样细胞癌的临床结局:需要重新评估。
Oncotarget. 2016 Nov 29;7(48):78448-78454. doi: 10.18632/oncotarget.12905.
8
Molecular Genetic Profiling of Adolescent Glassy Cell Carcinoma of the Cervix Reveals Targetable EGFR Amplification with Potential Therapeutic Implications.青少年宫颈玻璃样细胞癌的分子遗传学分析显示 EGFR 扩增可作为治疗靶点及潜在的治疗意义。
J Adolesc Young Adult Oncol. 2016 Sep;5(3):297-302. doi: 10.1089/jayao.2015.0068. Epub 2016 Mar 14.
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Global cancer statistics, 2012.全球癌症统计数据,2012 年。
CA Cancer J Clin. 2015 Mar;65(2):87-108. doi: 10.3322/caac.21262. Epub 2015 Feb 4.
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Glassy cell carcinoma of the cervix and metastasis in episiotomy scar: a case report.宫颈玻璃样细胞癌伴会阴切开术瘢痕转移:一例报告
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