A case of minimal deviation adenocarcinoma originated from uterine endocervix.

Choi, Won Suk; Rhim, Chae Chun; Lee, Sung Jong; Jin, Ki Hong; Hong, Seung Pyo; Kim, Dong Joo; Lee, Youn Soo; Namkoong, Sung Eun

Case Report

Korean Journal of Obstetrics & Gynecology 2002;45(2):357-360.
Published online February 1, 2002.

A case of minimal deviation adenocarcinoma originated from uterine endocervix.

Won Suk Choi, Chae Chun Rhim, Sung Jong Lee, Ki Hong Jin, Seung Pyo Hong, Dong Joo Kim, Youn Soo Lee, Sung Eun Namkoong

¹Dept. of Obstetrics and Gynecology, Catholic University Medical College, Korea.
²Dept. of Clinical Pathology, Catholic University Medical College, Korea.
³Dept. of Obstetrics and Gynecology, Konkuk University, Seoul, Korea.

Abstract

Minimal deviation adenocarcinoma (adenoma malignum) is a variant of adenocarcinoma and is expressed from uterine endocervix. As a result of ever reported cases in the world, it is rare enough to occur in 1 to 2% of invasive cervical adenocarcinoma. Minimal deviation adenocarcinoma is well-differentiated form of adenocarcinoma in which the cytoplasmic mucin is rich and the glandular pattern simulates that of normal endocervical glands. Because of this, the tumor may not be recognized as malignant in small specimens, thereby causing delay in diagnosis. But recent studies have found a favorable prognosis if the disease is detected early. We experienced a case of minimal deviation adenocarcinoma, rare disease in the world, so we report with a brief review of literature.

Key Words: Minimal deviation adenocarcinoma, Adenoma malignum, uterine endocervix