K. Nanbu et al., MINIMAL DEVIATION ADENOCARCINOMA OF ENDOMETRIOID TYPE MAY ARISE IN THE ISTHMUS - CLINICOPATHOLOGICAL AND IMMUNOHISTOCHEMICAL STUDY OF 2 CASES, Gynecologic oncology, 58(1), 1995, pp. 136-141
Clinicopathological and immunohistochemical features of minimal deviat
ion adenocarcinoma (MDA) of endometrioid type which may have arisen in
the isthmus are presented. Hysterectomy specimens from two women, one
39 years of age and the other 64 years of age, showed the presence of
endometrioid-type adenocarcinoma with minimal atypia and without back
-to-back arrangement of the glands, which was consistent with a histol
ogical diagnosis of endometrioid MDA, However, the tumorous glands wer
e most abundant in the isthmus, and extensively infiltrated into the c
ervical stroma, vagina, parametrium, and corpus in one case, and the t
umor was confined to the isthmus in the other. Immunohistochemically,
the tumorous glands were CEA-positive and vimentin-negative in both ca
ses. p53 protein expression was found in one case, Histogenetic origin
of MDA of endometrioid type is discussed. (C) 1995 Academic Press, In
c.