1995 Volume 34 Issue 4 Pages 640-645
A case of adenoma malignum of the uterine cervix, which recurred in the vaginal stump four years after simple total hysterectomy, is reported. The patient, a 41-year-old woman, gravida 1 para 1, was referred to our department because adenocarcinoma had been detected upon biopsy of masses found in the vaginal stump. At the first examination, several masses the size of small beans were found on the left side of the vaginal stump, suggesting metastatic adenocarcinoma. Computer-assisted tomography of the whole body showed no other tumor suggestive of the primary focus. A microscopical review of the uterine specimen resected four years previously disclosed that some cervical glands had extended beyond the original glandular region to form a small cyst. The histological features of these cervical glands closely resembled those of the masses in the vaginal stump, and immunohistological staining revealed that the glands were positive for CEA. On the basis of these findings, a diagnosis of adenoma malignum of the uterine cervix was obtained from the uterine specimen.
