Intraluminal metastasis in uterine cervix.
José-Santos Salas Valién,
María-Teresa Ribas Ariño, María-Asunción González Morán y
Francisco Izquierdo García.
Department of Pathology. Hospital de León.
León.
Hospital de León. C/ Altos de Nava s/n.
24080- León. Spain
[Introduction] [Materials
& Methods] [Results] [Pictures] [Discussion]
[Bibliography]
Summary
- Uterine cervix involvement is characteristic of the
extension of an endometrial adenocarcinoma to the cervix
(stage II, F.I.G.O.). This extension is classified in
mucous (IIa) and stromal (IIb) invasion. In this kind of
tumoral affectation of the cervix, a contiguous tumoral
extension from the endometrium to the endocervix should
be established.
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- In some cases, endocervix is secondarily invaded by a
endometrial adenocarcinoma, but continuity between
primary neoplasia and the cervical affectation cannot be
established. In these cases, an intraluminal way of
spread through the endocervical canal has been proposed.
Occasionally, this way of tumoral propagation has been
facilitated by exploration maneuvers (cervical dilatation
and curettage).
We present two representative cases of
metastatic tumoral spreading by a intraluminally, in
endometrial and tubal adenocarcinoma, supporting this way
of propagation and discussing the difficulties that can
be found in the tumoral staging in these patients.
El Dr. José-Santos Salas
Valién es .........
- Hospital de León .....
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- Key Words: Adenocarcinoma,
Cervix, Metastasis
