Diffuse laminar endocervical glandular hyperplasia: a case report.
BACKGROUND
Diffuse laminar endocervical glandular hyperplasia is extremely rare with only 14 cases reported in the literature. Diffuse laminar endocervical glandular hyperplasia is a benign lesion that is easily confused with malignancy.


METHODS
We present a 22-year-old woman referred to our gynecologic oncology service with a 2.0 x 4.0-cm exophytic cervical mass. Colposcopic-directed cervical biopsies were diagnosed as adenocarcinoma, suggestive of minimal deviation adenocarcinoma. Computed tomographic scans of the abdomen and the pelvis failed to reveal any metastatic foci. A radical abdominal hysterectomy with pelvic and para-aortic lymph node sampling was performed without complications. Final pathology revealed diffuse laminar endocervical glandular hyperplasia.


CONCLUSIONS
Diffuse laminar endocervical glandular hyperplasia is an uncommon histological type of pseudoneoplastic glandular lesions that may be found in the cervix, and this entity should be considered in the differential diagnosis of a potentially malignant endocervical glandular lesion.
Dainty
Louis A
LA
Division of Gynecologic Oncology, United States Military Cancer Institute, Walter Reed Army Medical Center, Washington, DC, USA. louis.daintyl@us.army.mil
Krivak
Thomas C
TC
Webb
Joel C
JC
Zahn
Christopher M
CM
Elkas
John C
JC
Chernofsky
Mildred R
MR
Rose
G Scott
GS
Maxwell
G Larry
GL
D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology; D002584:Cervix Uteri / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006965:Hyperplasia / Q000175:diagnosis / Q000473:pathology; D009375:Neoplasms, Glandular and Epithelial / Q000175:diagnosis* / Q000473:pathology; D049590:Postpartum Period; D011230:Precancerous Conditions / Q000175:diagnosis; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000473:pathology; D055815:Young Adult