title: Atypical glandular cells of undetermined significance from extramammary Paget's of the bladder.
abstract: BACKGROUND
  The clinical significance and appropriate diagnostic evaluation of atypical glandular cells of undetermined significance (AGCUS) on cervicovaginal Papanicolaou test have not been well established.
  
  
  METHODS
  A 53-year-old woman with AGCUS underwent colposcopy, cervical biopsy, hysteroscopy, dilation and fractional curettage, and subsequently hysterectomy with bilateral salpingo-oophorectomy without abnormal findings. A repeat vaginal Papanicolaou test revealed malignant cells. Extramammary Paget's disease and urothelial carcinoma in situ were subsequently determined to be the source of the abnormal cells interpreted as AGCUS.
  
  
  CONCLUSIONS
  AGCUS may be associated with extramammary Paget's disease and urothelial carcinoma. One should maintain a high index of suspicion for extragenital causes of persistent AGCUS.
authors.affiliation: Department of Obstetrics and Gynecology, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts, USA.
authors.forename: Suzelle A
authors.initials: SA
authors.lastname: Hendsch
authors.forename: Susan D
authors.initials: SD
authors.lastname: Glover
authors.forename: Christopher N
authors.initials: CN
authors.lastname: Otis
authors.forename: Julia T
authors.initials: JT
authors.lastname: Donovan
mesh_terms: D002278:Carcinoma in Situ / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D010052:Ovariectomy; D010145:Paget Disease, Extramammary / Q000175:diagnosis* / Q000473:pathology; D065006:Papanicolaou Test; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis* / Q000473:pathology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014626:Vaginal Smears