A Case of Endometrial Squamous Cell Carcinoma.

Chon, Hye Sook; Chung, Ho Soon; Hahn, Kwang Soo; Lee, Ho Jung

Case Report

Korean Journal of Obstetrics & Gynecology 2003;46(4):864-868.
Published online April 1, 2003.

A Case of Endometrial Squamous Cell Carcinoma.

Hye Sook Chon, Ho Soon Chung, Kwang Soo Hahn, Ho Jung Lee

¹Department of Obstetrics and Gynecology, College of Medicine, KyungHee University, Seoul, Korea.
²Department of Pathology, Sejong General Hospital, Puchon, Korea.
³Department of Obstetrics and Gynecology, Sejong General Hospital, Puchon, Korea.

Abstract

Endometrial squamous cell carcinoma is extremely rare. In 1928 Fluhmann proposed three criteria to establish the diagnosis of endometrial squamous cell carcinoma: (1) no coexisting endometrial adenocarcinoma, (2) no connection between the endometrial tumor and the squamous epithelium of the cervix, and (3) no squamous cell carcinoma of the cervix present. More recently, the World Health Organization (WHO) updated Fluhmann's criteria by adding that the tumor must contain clear evidence of squamous differentiation, such as the presence of intercellular bridges and/or keratin. We presented a case of carcinoma in situ of endocervix and endometrial squamous cell carcinoma involving full thickness of whole endometrium with a review of literature.

Key Words: Endometrial squamous cell carcinoma, Carcinoma in situ