Clear Cell Adenocarcinoma of the Cervix in a Child without In Utero Exposure to Diethylstilbestrol: A Case Report and Review of the Literature

SAGE Publications - Tập 8 - Trang 690-695 - 2005
William A. Ahrens1, L. Patricia Barrón-Rodriguez1, Millisa McKee2, Scott Rivkees3, Miguel Reyes-Múgica1,3
1Department of Pathology, Yale University School of Medicine, New Haven, USA
2Department of Pediatric Surgery, Yale University School of Medicine, New Haven, USA
3Department of Pediatrics, Yale University School of Medicine, New Haven, USA

Tóm tắt

We describe the case of a primary cervical tumor in a 6-year-old child that was originally suspected to be an embryonal rhabdomyosarcoma botryoides. Histologic analysis revealed a clear cell adenocarcinoma. Despite a direct search and questioning for maternal exposure to diethylstilbestrol, this was not documented. Clear cell adenocarcinoma is an extremely rare neoplasm that should be kept in the differential diagnosis of cervicovaginal lesions in children, even in the absence of a clinical history of in utero diethylstilbestrol exposure. We discuss the hypothesized pathogenesis and review the literature on this unusual tumor.

Tài liệu tham khảo

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