The Cytologic Features of Adenoid Cystic Carcinoma of the Uterine Cervix - A Case Report -

자궁경부 선양낭성암종의 세포학적 소견 - 1예 보고 -

  • Ha, Seung-Yeon (Department of Pathology, Gil Medical Center, Gachon Medical College) ;
  • Cho, Hyun-I (Department of Pathology, Gil Medical Center, Gachon Medical College) ;
  • Oh, Young-Ha (Department of Pathology, Gil Medical Center, Gachon Medical College) ;
  • Lyu, Geun-Shin (Department of Pathology, Gil Medical Center, Gachon Medical College)
  • 하승연 (가천의과대학 부속 길병원 해부병리과) ;
  • 조현이 (가천의과대학 부속 길병원 해부병리과) ;
  • 오영하 (가천의과대학 부속 길병원 해부병리과) ;
  • 류근신 (가천의과대학 부속 길병원 해부병리과)
  • Published : 1998.12.30

Abstract

Adenoid cystic carcinoma of the uterine cervix is a rare tumor accounting for less than 1% of all cervical adenocarcinoma. This tumor is characterized by aggressive biological behavior with frequent local recurrence or metastatic spread, postmenopausal onset, and occasional association with conventional squamous cell carcinoma. The cytologic diagnosis of adenoid cystic carcinoma in the uterine cervix is often difficult because of negative smear due to intact overlying mucosa, cytologic findings mimicking endometrial cells, and masquerade as squamous ceil carcinoma. Recently we have experienced a case of adenoid cystic carcinoma arising in the uterine cervix, which was identified on the routine Papanicolaou smear and was histologically confirmed by the consequent biopsy. The smear showed abundant cellularity composed of relatively uniform cells. The tumor cells were arranged in small clusters, acini, naked cells, and loose sheets with abortive cribriform pattern. There were scattered globoid basement membrane-like materials and tumor diathesis. The nuclei were pleomorphic and showed hyperchromatic and coarsely granular choromatin with inconspicuous nucleoli. The punch biopsy of the uterine cervix showed typical histologic findings of adenoid cystic carcinoma characterized by tumor nests composed of hyperchromatic uniform basaloid cells, cribriform pattern, and cylindrical hyaline bodies.