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KMID : 1144220230290030150
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Journal of Menopausal Medicine
2023 Volume.29 No. 3 p.150 ~ p.153
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Villoglandular Adenocarcinoma of the Uterine Cervix: A Case Report
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Park So-Young
Pak Min-Gyoung
Park Jung-Woo
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Abstract
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Cervical adenocarcinomas constitute for approximately 10%?20% of all invasive cervical cancers. Villoglandular adenocarcinomas (VGAs) are a rare subtype of cervical adenocarcinoma, representing approximately 5% of all cases of cervical adenocarcinomas. Herein, we report the case of a 49-year-old perimenopausal woman successfully treated for VGA. The patient presented to the hospital with a primary complaint of vaginal discharge persisting for 7 months with worsening symptoms. She had no underlying medical conditions or history of oral contraceptive use. A punch biopsy revealed an adenocarcinoma, and a human papillomavirus (HPV) test indicated positive for HPV-16. The patient underwent a radical hysterectomy with bilateral pelvic lymph node dissection, and a pathological diagnosis of VGA was established. After surgery, the patient underwent a 6-week course of concurrent chemoradiotherapy with cisplatin. During the 42 months of follow-up, no signs of disease recurrence or metastasis were observed. Because of the limitations of specimen acquisition, achieving a precise diagnosis through cervicovaginal cytology and punch biopsy is challenging. Instead, conization should be considered to prevent misdiagnosis.
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KEYWORD
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Case reports, Cervix uteri, Uterine cervical neoplasms
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