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KMID : 0358420100530040371
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Korean Journal of Obstetrics and Gynecology
2010 Volume.53 No. 4 p.371 ~ p.376
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A case of clear cell carcinoma of uterine cervix not related to intrauterine dietylstilbesterol exposure
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Jeon Dong-Su
Lee Chae-Hyeong
Park Hyun-Soo
Yoon Sang-Ho
Choi Jong-Sun
Kim Eo-Jin
Roh Ju-Won
Min Eung-Gi
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Abstract
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Clear cell carcinoma of the uterine cervix is rare cancer that accounts for 4 to 9% of the adenocarcinoma of uterine cervix. Although intrauterine exposure to diethylstilbestrol (DES) during early pregnancy is one of the established risk factors, DES exposure may not be confirmed in all patients. We experienced a case of clear cell carcinoma in the uterine cervix of 67-year-old woman who was not exposed to DES. She was initially diagnosed as endometrial clear cell carcinoma because of the normal colposcopic finding and histologically proven clear cell carcinoma from endometrial aspiration biopsy and endocervical curettage. We performed a total laparoscopic hysterectomy with bilateral salpingo-oophorectomy and lymphadnectomy including both pelvic and para-aortic regions. On the final pathologic diagnosis of clear cell carcinoma confined to endocervix, the patient was received adjuvant concurrent chemoradiation with weekly cisplatin. We present the case with a brief review of related literature.
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KEYWORD
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Clear cell carcinoma, Cervical carcinoma, Diethylstilbestrol
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