Toyoda Shinji, Morita Kohei, Ito Fuminori, Niiro Emiko, Taniguchi Makiko, Sado Toshiyuki
Department of Obstetrics and Gynecology, Nara Prefecture General Medical Center, Nara, Japan.
Department of Diagnostic Pathology, Nara Prefecture General Medical Center, Nara, Japan.
Cytopathology. 2025 Nov;36(6):602-605. doi: 10.1111/cyt.70012. Epub 2025 Jul 25.
This case highlights the importance of early, aggressive surgery for large cell neuroendocrine carcinoma and continuous cytological monitoring in detecting recurrence at the early intraepithelial stage. The pagetoid spread pattern with a biphasic synaptophysin staining differentiated LCNEC from CIN3 and AIS.
该病例凸显了对大细胞神经内分泌癌进行早期积极手术以及在早期上皮内阶段检测复发时进行持续细胞学监测的重要性。伴有双相突触素染色的派杰样扩散模式将大细胞神经内分泌癌与CIN3和原位腺癌区分开来。