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A case of microglandular adenocarcinoma of the endometrium
Ates Karateke1, Berna Haliloglu, Vedat Atay
1Department of Gynecologic Oncology, Zeynep Kamil Women's and Children Hospital, and Department of Obstetrics and Gynecology, GATA Haydarpasa Medical School, Uskudar, Istanbul, Turkey.
Background:
Microglandular adenocarcinoma is a rare type of endometrium carcinoma and had some potential diagnostic problems with difficulties in discriminating from some malign and benign lesions of cervix.
Case Report:
A 70-year-old woman misdiagnosed as cervical adenocarcinoma was referred to our clinic, and the lesion was ultimately evaluated as microglandular adenocarcinoma in repeat of endometrial curettage specimen. Postoperatively, histopathologic examination of specimen revealed grade 1 microglandular adenocarcinoma. To our best knowledge, this is the twelfth case of uterine carcinoma simulating microglandular hyperplasia in the literature.
Conclusion:
Because microglandular adenocarcinoma can be confused with benign lesions like microglandular hyperplasia and malignant lesions of cervix, we aim to discuss the clinical, demographic and immunohistochemical characteristics of the patients with microglandular adenocarcinoma useful in differential diagnosis.