Ravinsky E, Safneck J R, Chantziantoniou N
Department of Pathology, Health Sciences Centre, Winnipeg, Manitoba, Canada.
Acta Cytol. 1996 Nov-Dec;40(6):1304-8. doi: 10.1159/000334026.
Adenoid cystic carcinoma of the cervix is a rare, aggressive neoplasm generally found in postmenopausal women.
A cervical cytology specimen was obtained by endocervical brush from an 80-year-old woman with histologically confirmed primary adenoid cystic carcinoma of the cervix. Both small cells arranged in a cribriform (cylindromatous) pattern and moderately dysplastic squamous cells (high grade squamous intraepithelial lesion) were evident.
Although the endocervical brush technique may yield well-preserved cells and tissue fragments morphologically characteristic of adenoid cystic carcinoma of the cervix, confusion with more common tumors, such as endometrial adenocarcinoma, still may create cytologic diagnostic difficulties.
宫颈腺样囊性癌是一种罕见的侵袭性肿瘤，通常见于绝经后女性。
通过宫颈管刷取术从一名80岁女性获取宫颈细胞学标本，该患者经组织学确诊为原发性宫颈腺样囊性癌。可见呈筛状（圆柱瘤样）排列的小细胞以及中度发育异常的鳞状细胞（高级别鳞状上皮内病变）。
尽管宫颈管刷取术可能获取形态上具有宫颈腺样囊性癌特征的保存良好的细胞和组织碎片，但与更常见的肿瘤（如子宫内膜腺癌）混淆仍可能造成细胞学诊断困难。
