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Primary small-cell carcinoma of the endometrium: Clinicopathological study of a case and review of the literature
1Department of Obstetrics and Gynaecology, Greece
2Department of Pathology, "G. Chatzikosta" - General State Hospital, Ioannina, Greece
*Corresponding Author(s): M. Varras E-mail:
Background: Small-cell carcinomas are almost always primary in the lungs and are highly malignant. These tumors may also occur in the female genital tract. However, primary small-cell carcinoma of the endometrium is extremely rare with very few cases reported in the English literature. This tumor may exhibit evidence of neuroendocrine differentiation and has a high propensity for systemic spread and poor prognosis.
Case: A 55-year-old postmenopausal woman with primary small-cell carcinoma of the endometrium, FIGO stage Ib, underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and sampling node biopsies of the parametrial spaces, followed by adjuvant combined chemotherapy.
Conclusion: A case of small-cell carcinoma of the endometrium, is reported and its clinical, histological and immunohistochemical features are discussed.
Small cell; Neuroendocrine; Carcinoma; Endometrial neoplasms
M. Varras,Ch. Akrivis,A. Demou,G. Hadjopoulos,S. Stefanaki,N. Antoniou. Primary small-cell carcinoma of the endometrium: Clinicopathological study of a case and review of the literature. European Journal of Gynaecological Oncology. 2002. 23(6);577-581.
[1] Chua R. S.,T orno R. B.,V uletin J.C.: "Fine needle aspiration cytology of small cell neuroedocrine carcinoma of the breast. A case report". Acta Cytol., 1997, 41, 1341.
[2] Campo E., Brunier M. N., Merino M. J.: "Small cell carcinoma of the endometrium with associated ocular paraneoplasmatic syndrome". Cancer, 1992, 69, 2283.
[3] Ibrahim N. B. M., Briggs J. C., Corbishley C. M.: "Extrapulmonary oat-cell carcinoma". Cancer, 1984, 54, 1645.
[4] Cross A. S., Azzopardi J. G., Krausz T., Van Noorden S., Polak J M.: "A morphological and immunocytochemical study of a distinctive variant of ductal carcinoma in-situ of the breast". Histopathology, 1985, 9, 21.
[5] Cubilla A. L.,W ooddruff J. M.: "Primary carcinoid tumour of the breast. A report of eight patients". Am. J. Surg. Pathol., 1977, 1, 283.
[6] Fer M., Oldham R., Richardson R., Hande K., Greco F. A.: "Extrapulmonary small cell carcinoma (abstr)". Proc. Am. Assoc. Cancer Res. Am. Soc. Clin. Oncol., 1980, 21,475.
[7] Hattori S., Matsuda M., Tateishi R.,Nishihara H., Horai T.: "Oatcell carcinoma of the lung". Cancer, 1972, 30, 1014.
[8] Wade P. M. Jr., Mills S. E., Read M., Cloud W., Lambert M. J., Smith R.: "Small cell neuroendocrine (oat cell) carcinoma of the breast". Cancer, 1983, 52, 121.
[9] Olson N., Twiggs L., Sibley R.: "Small-cell carcinoma of the endometrium: Light microscopic and ultrastructural study of a case". Cancer, 1982, 50, 760.
[10] Bemmatyne P., Russell P., Wills E. J.: "Argyrophilia and endometrial carcinoma". Int. J. Gynecol. Pathol., 1983, 2, 235.
[11] Kumar N. B.: "Small cell carcinoma of the endometrium in a 23-year-old woman: Light microscopic and ultrastructural study" Am. J. Clin. Pathol., 1984, 81, 98.
[12] Paz R. A., Bruno F., Sundblad A. S., Eusebi V.: "Small-cell (oat cell) carcinoma of the endometrium". Arch. Pathol. Lab. Med., 1985, 109, 270.
[13] Kristensen P. B., Paulsen S. M.: "Simultaneous presentation of a small-cell carcinoma involving the ovary and the uterine endometrium". J. Submicrosc. Cytol., 1985, 17, 97.
[14] Manivel C., Wick M. R., Sibley R. K.: "Neuroendocrine differentiation in Mi.illerian neoplasms. An immunohistochemical study of a "pure'endometrial small-cell carcinoma and mixed Mi.illerian tumor containing small-cell carcinoma". Am. J. Clin. Pathol., 1986, 86, 438.
[15] Tohya T., Miyazaki K., Katabuchi H., Fujisaki S., Maeyama M.: "Small cell carcinoma of the endometrium associated with adenosquamous carcinoma: A light and electron microscopic study" Gynecol. Oncol., 1986, 25, 363.
[16] Crofts J. W., Bachynski B. N., Odel J. G.: "Visual paraneoplasmatic syndrome associated with undifferentiated endometrial carcinoma". Can. J. Othphalmol., 1988, 23, 128.
[17] Mirhashemi R., Kratz A., Weir M. M., Molpus K. L., Goodman A K.: "Vaginal small cell carcinoma mimicking a Bartholin's gland abscess: A case report". Gynecol. Oncol., 1998, 68, 297.
[18] Huntsman D. G., Clement P. B., Gilks B., Scully R. E.: "Smallcell carcinoma of the endometrium. A clinicopathological study of sixteen cases". Am. J. Surg. Pathol., 1994, 18, 364.
[19] Proca D.,K eyhani-Rofagha S.,C opeland L. J.,H ameed A.: "Exfoliative cytology of neuroendocrine small cell carcinoma of the endometrium. A report of two cases". Acta Cytol., 1998, 42, 978.
[20] Fetissof F.. Dubois M. P.,H eitz P. U.,L ansac J.,A rbeille-Brassart B., Jobard P.: "Endocrine cells in the female genital tract". Int. J. Gynecol. Pathol., 1986, 5, 75.
[21] Seliguchi I., Suzuki M., Sato I., Ohkawa T., Kawashima H., Tsuchida S.: "Rare case of small-cell carcinoma arising from the endometrium with paraneoplasmatic retinopathy". Gynecol Oncol., 1998, 71, 454.
[22] Albores-Saveedra J.,G ersell D.,G ilks C. B.,H enson D. E., Lindberg G., Santiagno H. et al.: "Terminology of endocrine tumors of the uterine cervix". Arch. Pathol. Lab. Med., 1997, 121, 34.
[23] Abeler V. M., Kjorstad K. E., Nesland J. M.: "An undifferentiated carcinoma of the endometrium: A histopathologic and clinical study of 31 cases". Cancer, 1991, 68, 98.
[24] Azumi N., Battifora H.: "The distribution of vimentin and keratin in epithelial and nonepithelial neoplasms: A comprehensive immunohistochemical study on formalin- and alcohol-fixed tumors". Am. J. Clin. Pathol., 1987, 88, 286.
[25] Ferry J. A, Young R. H.: "Malignant lymphoma, pheudolymphoma and hematopoietic disorder of the female genital tract". Pathol. Annu., 1991, 26, 227.
[26] Daya D., Lukka H., Clement P. B.; "Primitive neuroectodermal tumors of the uterus: A report of four cases". Cancer, 1982, 49, 188.
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