1984 Volume 23 Issue 1 Pages 84-91
A case of micro-adenocarcinoma of the endocervix, showing many atypical endocervical cells in cytologic cancer screening.
A 73-year-old woman was admitted to our hospital for a medical checkup. Vaginal exammination failed to show any abnormality, but the endocervical smear revealed abnormal cells with palisade-like, rosette-like and sheet configuration. The squash smear obtained by curette with sharp cutting end exhibited many malignant cells, which had deviated large oval nuclei without apparent tumor background among normal cervical cells. The fine nuclear chromatin evenly distributed. Neucleoli were not prominent and cytoplasm stained weakly eosinophilic. Uterine cervical cone biopsy was performed for the pathological diagnosis. The pathological lesions were composed of adenocarcinoma in situ and micro-invasive adenocarcinoma (micro-adenocarcinoma) of the endocervix and abnormal squamous epithelium. The former lesion occupied about 0.3-0.8 0.8 cm in width at 6 to 10 o'clock direction, and the latter lesion occupied at 12 to 8 o'clock direction clockwise. Hence, diagnosis of adenocarcinoma in situ and micro-invasive adenocarcinoma (micro-adenocarcinoma) of the endocervix with abnormal squamous epithelium was made. The definitive surgery with radecal hysterectomy was performed.
The squash smear obtained by curette with sharp cutting end and uterine cervical cone biopsy were beneficial for making the proper diagnosis of adenocarcinoma in situ and micro-invasive adenocarcinoma (micro-adenocarcinoma) of the endocervix because of providing better cytologic and histologic specimens from the endocervical canal.
