Secretory carcinoma of the endometrium: An unusual pattern

Pinki Pandey, Sandhya Mittal, Anupama Goel, Alok Dixit, Kalyani Kapur, Nanak Chand Mahajan
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引用次数: 4

Abstract

Secretory carcinomas of the endometrium are uncommon tumors representing only 1–2% of endometrial carcinomas and have received very little attention in the literature. These are usually grade 1 tumors architecturally and cytologically. We report a case of secretory carcinoma endometrium in a 42-year-old woman presenting with irregular vaginal bleeding and underwent a hysterectomy revealing secretory carcinoma endometrium. The histological features of secretory carcinoma are reminiscent of normal early secretory endometrium (17–22 days), displaying a well differentiated glandular pattern having columnar cells with subnuclear or supranuclear vacuolization containing clear glycogenated cytoplasm. It is extremely important to distinguish secretory carcinoma from clear cell carcinoma in view of the excellent prognosis of the former and the unfavorable prognosis of the latter.

子宫内膜分泌性癌:一种不寻常的类型
子宫内膜分泌性癌是一种罕见的肿瘤,仅占子宫内膜癌的1-2%,在文献中很少受到关注。这些通常是1级肿瘤的结构和细胞学。我们报告一例分泌性子宫内膜癌在一个42岁的妇女提出不规则阴道出血和接受子宫切除术发现分泌性子宫内膜癌。分泌性癌的组织学特征与正常的早期分泌性子宫内膜(17-22天)相似,表现为分化良好的腺样结构,柱状细胞伴核下或核上空泡,胞浆中含有清晰的糖原化。分泌性癌预后好,透明细胞癌预后差,因此鉴别分泌性癌和透明细胞癌是非常重要的。
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