[Microglandular endocervical hyperplasia and endocervical adenocacinoma in pregnant--description of two cases].
Two clinically identical cases of young, pregnant women, presented with exocervical polypoid masses are described. Because of beginning delivery in both cases, the diagnoses are made on frozen sections. In the first case histological examination reveals microglandular endocervical hyperplasia. A successful delivery by caesarian section and no more operations is performed. In the second case, an endocervical adenocarcinoma is diagnosed and after a successful delivery by caesarian section, a laparohysterectomy with bilateral adnexectomy and lymph node dissection is performed. Detailed histological examination of the endocervical neoplasm discloses a well differentiated papillary villoglandular adenocarcinoma, containing minor elements of more aggressive serous carcinoma, which may adversely affect the outcome. Three consequent recurrences are found in this patient for a period of 5 years and 3 months after the operation.
Nikolova
M
M
Marinov
E
E
Stoĭkov
S
S
Gorchev
G
G
Tomov
S
S
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D000328:Adult; D002585:Cesarean Section; D004714:Endometrial Hyperplasia / Q000473:pathology*; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D008197:Lymph Node Excision; D009364:Neoplasm Recurrence, Local; D011247:Pregnancy; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery