RT  - European Journal of Gynaecological Oncology
ID  - 10.12892/ejgo3348.2017
T1  - A case of melanocytic cervical adenosquamous carcinoma complicated with Cushing’s syndrome
A1  - Y. Chen
A1  - Y. Zhang
A1  - L. Wang
A1  - X. Yang
K1  - Melanocytic carcinoma; Cervical adenosquamous carcinoma; Cushing’s syndrome.
YR  - 2017
SP  - 126
AB  - <p><i>Background</i>: To date, cervical carcinoma complicated with Cushing's syndrome were all diagnosed as small cell carcinoma histologically, but not adenosquamous carcinoma. Here the authors present the diagnosis, management, and prognosis of a case of melanocytic cervical adenosquamous carcinoma complicated with Cushing's syndrome. <i>Case</i>: A 28-year-old woman was admitted with the chief complaint of post-coital bleeding for one month. Gynecological examination revealed a nodular yellowish-pigmented vegetation (6×5 cm) on the cervix. Laboratory findings proved the diagnosis of Cushing’s syndrome. Histopathological diagnosis showed the adenosquamous carcinoma with melanoma differentiation. Immunohistochemical stainings for melanoma A and anti-adrenocorticotropic hormone (ACTH) were positive in the majority of the tumor cells, which indicated that this melanocytic cervical carcinoma lesion was the source of ectopic ACTH production resulting in Cushing's syndrome. <i>Conclusion</i>: This is a unique case of a rare type of cervical carcinoma.</p>