Adenoma malignum - Report of a case with cytologic and colposcopic findings and immunohistochemical staining with antimucin monoclonal antibody HIK-1083

BACKGROUND: Adenoma malignum of the uterine cervix was first described by G usserow. We report here a case with cytologic, histologic and colposcopic f indings and immunohistochemistry for HIK-1083. CASE: A 42-year-old female was noted to have a probable adenoma malignum du e to the detection of atypical cells classified as V. On colposcopy, comma- shaped, atypical vessels spread over the entire cervical area. Histologic f indings were characteristic of tumor invasion beyond the layer of cervical glandular ducts. Immunohistochemical detection of CEA was negative, bur HIK -1083, which recognizes gastric glandular mucous cells, was positive. CONCLUSION: For a definitive diagnosis of adenoma malignum of the cervix, i mmunohistochemical examination for an appropriate marker, such as HIK-1083, should be added to the routine gynecologic examination, cytologic and hist opathologic examination, and colposcopy.