KMID : 0358420170600010118
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Korean Journal of Obstetrics and Gynecology 2017 Volume.60 No. 1 p.118 ~ p.123
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Lymphoepithelioma-like carcinoma of the uterine cervix
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Yun Hyun-Sil
Lee Sun-Kyung Yoon Gun Kim Hwi-Gon Lee Dong-Hyung Na Yong-Jin Choi Ook-Hwan Shin Dong-Hoon Song Yong-Jung
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Abstract
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Lymphoepithelioma-like carcinoma (LELC) of the uterine cervix is exceedingly uncommon. We herein report a rare case of cervical LELC. A 45-year-old woman was admitted to gynecology department with vaginal bleeding for one month. Liquid-based cytology revealed atypical endometrial cells, not otherwise specified on her cervix. On a hysteroscopy, an endocervical mass was identified and the pathologic result was consistent with poorly differentiated squamous cell carcinoma. Magnetic resonance imaging and positron emission tomography with 2-deoxy-2-[fluorine-18] fluoro-D-glucose integrated with computed tomography revealed a 3.1-cm endocervical mass without distant metastasis or enlarged lymph nodes. The International Federation of Gynecology and Obstetrics stage was IB1. A radical hysterectomy and bilateral pelvic lymph node dissection were performed. The pathologic diagnosis was a poorly differentiated carcinoma, showing features of LELC. She has been followed for 8 months without adjuvant treatment since the surgery, during which time there has been no evidence of tumor recurrence or metastasis.
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KEYWORD
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Cervix uteri, Herpesvirus 4, human, Lymphoepithelioma-like carcinoma, Uterine cervical neoplasms
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