Cited 4 times in

Cytological features of mesonephric-like adenocarcinoma of the uterine corpus

Authors
 Youjeong Seo  ;  Eunhyang Park  ;  Hyun-Soo Kim 
Citation
 DIAGNOSTIC CYTOPATHOLOGY, Vol.51(5) : 294-306, 2023-05 
Journal Title
DIAGNOSTIC CYTOPATHOLOGY
ISSN
 8755-1039 
Issue Date
2023-05
MeSH
Adenocarcinoma* / diagnosis ; Adenocarcinoma* / pathology ; Cervix Uteri / pathology ; Cytodiagnosis ; Female ; Humans ; Uterine Cervical Neoplasms* / pathology ; Uterus / pathology
Keywords
cytology ; mesonephric-like adenocarcinoma ; preparation method ; sampling site ; uterine corpus
Abstract
Background: Although several studies have documented the histological features of uterine mesonephric-like adenocarcinoma (MLA), its cytological features have been rarely reported.Methods: We searched for histologically confirmed uterine MLA cases in the pathology archives of three institutions between 2010 and 2021. All available cytology slides were examined to identify the cytological features of uterine MLA.Results: We included 16 patients with uterine MLA and reviewed the slides obtained from 21 cytology samples. Samples were obtained from the cervicovagina (9/21, 42.9%), peritoneal washing (8/21, 38.1%), pleural effusion (2/21, 9.5%), and transbronchial needle aspiration of mediastinal lymph node (2/21, 9.5%). Preparation methods included ThinPrep (11/21, 52.4%), SurePath (8/21, 38.1%), and conventional smear (2/21, 9.5%). Regardless of the sampling site and preparation method, cytology samples displayed tight three-dimensional cellular clusters showing monotonous, small-to-medium-sized, round, hyperchromatic nuclei, indistinct nucleoli, scant cytoplasm, and high nuclear-to-cytoplasmic ratio. Approximately half of the samples (10/21, 47.6%) showed hyaline-like globules. Mitotic figures (7/21, 33.3%) and apoptotic bodies (13/21, 61.9%) were also observed. No tumor diathesis or nuclear feathering was identified.Conclusions: Irrespective of sampling site and preparation method, the majority of uterine MLA cases showed the following cytological features: tight three-dimensional cellular clusters showing small-to-medium-sized, round, hyperchromatic nuclei with indistinct nucleoli and high nuclear-to-cytoplasm ratio. In case a cytology sample suspicious of a glandular lesion displays these cytological features, which are distinct from those of endocervical adenocarcinoma, uterine MLA should be included in the differential diagnosis.
Full Text
https://onlinelibrary.wiley.com/doi/10.1002/dc.25111
DOI
10.1002/dc.25111
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Park, Eunhyang(박은향) ORCID logo https://orcid.org/0000-0003-2658-5054
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/199559
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links