We report the typical cytological features in a case of lymphoepithelioma-like carcinoma (LELC), rare among uterinecervical malignant neoplasms. A 61-year-old woman seen for irregular genital bleeding was found in 2 cytological examinations tohave neoplastic cells with high N/C ratio and conspicuous nucleoli as a cluster or a single cell, with numerous normal squamous epithelia in the background. Cytology also showed lymphocytic infiltration into the neoplastic cell cluster. The cytological diagnosis was carcinoma in situ because this lesion lacked a neoplastic background, but the definitive pathologic diagnosis from the conization specimen was relatively early-stage LELC. This case suggests the need to consider the possibility of LELC when observing lymphocytic infiltration into a cluster of undifferentiated neoplastic cells having prominent nucleoli.
We could rule out malignancy and suggest endometriosis based on imprint cytology findings for an umbilical specimen. A 44-year-old woman suffering abdominal discomfort for two weeks and cyclic umbilical pain for eight years had no history of previous abdominal surgery. Examination showed a firm round 3×2cm nodule at the umbilicus and 10cm uterine myoma. The umbilical mass was excised during hysterectomy. Imprint cytology yieled tubular clusters appearing to be normal proliferative-phase endornetriosis, and endometrial stromal cells.