난소의 성끈 종양을 닮은 자궁종양 -세포학적 소견 1예 보고-

Uterine Tumor Resembling Ovarian Sex-Cord Tumor - A Case Report of the Cytologic Finding -

  • 김인선 (고려대학교 의과대학 병리학교실) ;
  • 한은미 (고려대학교 의과대학 병리학교실) ;
  • 정운용 (고려대학교 의과대학 병리학교실) ;
  • 이주한 (고려대학교 의과대학 병리학교실) ;
  • 염범우 (고려대학교 의과대학 병리학교실)
  • Kim, In-Sun (Department of Pathology, Korea University Medical College) ;
  • Han, Eun-Mee (Department of Pathology, Korea University Medical College) ;
  • Jung, Woon-Yong (Department of Pathology, Korea University Medical College) ;
  • Lee, Ju-Han (Department of Pathology, Korea University Medical College) ;
  • Yeom, Bum-Woo (Department of Pathology, Korea University Medical College)
  • 발행 : 2003.11.30

초록

Uterine stromal tumors with features of ovarian sex-cord differentiation are relatively rare. The neoplasms composed of sex cord-like components in more than 50% of the tumor are classified as group II. We report the cytologic findings of a case of uterine tumor resembling ovarian sex-cord tumor. The cervical smears of a 62-year-old woman with submucosal tumor showed loose aggregates of spindle cells as well as glandular or tubular structures of round cells with a distinct ceil membrane and a prominent small nucleolus. Because uterine stromal tumor can have sex cord differentiation, its possibility should be considered in the interpretation of cervical smears.

키워드

참고문헌

  1. Zaharopoulos P, Wong JY, Lamke CR. Endometrial stromal sarcoma: Cytology of pulmonary metastasis including ultrastructural study. Acta Cytol 1982;26:49-54
  2. Hong IS. The exfoliative cytology of endometrial stromal sarcoma in peritoneal fluid. Acta Cytol 1981 ;25:277-81
  3. Hsiu JG, Stawicki ME. The cytologic findings in two cases of stromal sarcoma of the uterus. Acta Cytol 1979;23:487-9
  4. Massoni WA, Hajdu Sl. Cytology of primary and metastatic uterine sarcomas. Acta Cytol 1984;28:93-100
  5. Morimoto N, Ozawa M, Kato Y, Kuramoto H. Diagnostic value of mitotic activity in endometrial stromal sarcoma Report of two cases. Acta Cytol 1982;26:695-8
  6. Kim K, Naylor B, Han IH. Fine needle aspiration cytology of sarcomas metastatic to the lung. Acta Cytol 1986;30:688-94
  7. Nguyen GK, Berendt RC. Aspiration biopsy cytology of metastatic endometrial stromal sarcoma and extragenital mixed mesodermal tumor. Diagn Cytopathol 1986;2:256-60 https://doi.org/10.1002/dc.2840020320
  8. Yang GCH. Fine needle aspiration cytology of low grade endometrial stromal sarcomas. Acta Cytol 1995;39:701-5
  9. Yokosuka K, Abe S. Recurrent low grade endometrial stromal sarcoma in ascitic fluid. Acta Cytol 2002;46:785-6
  10. Becker SN, Wong JY. Detection of endometrial stromal sarcoma in cervicovaginal smears. Report of three cases. Acta Cytol 1981;25:272-6
  11. Clement PB, Scully RE. Uterine tumors resembling ovarian sex cord tumors. Am J Clin Pathol 1976;66:512-25 https://doi.org/10.1093/ajcp/66.3.512
  12. Hauptmann S, Nadjari B, Kraus J, Turnwald W, Dietel M. Uterine tumor resembling ovarian sex-cord tumor : a case report and review of the literature. Virchows Arch 2001;439:97-101 https://doi.org/10.1007/s004280100455
  13. Kabbani W, Deavers MT, Malpica A, et al. Uterine tumor resembling ovarian sex-cord tumor: Report of a case mimicking cervical adenocarcinoma. Int J Gynecol Pathol 2003;22:297-302 https://doi.org/10.1097/01.PGP.0000070846.25718.97