201. Cytomorphology of verrucous carcinoma of the cervix. A case report.
- Author
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Pantanowitz L, Upton MP, Wang HH, and Nasser I
- Subjects
- Biopsy standards, Cell Nucleus pathology, Cell Size physiology, Cytoplasm pathology, Diagnosis, Differential, Diagnostic Errors prevention & control, Epithelial Cells pathology, Female, Humans, Keratins metabolism, Middle Aged, Papanicolaou Test, Vacuoles pathology, Vaginal Smears, Carcinoma, Verrucous pathology, Uterine Cervical Neoplasms pathology
- Abstract
Background: Verrucous carcinoma of the uterine cervix is rare. Cytology is thought not to be helpful in the diagnosis of this lesion due to its bland morphology. The cytologic features of this lesion remain poorly defined., Case: The cytologic findings in a Pap smear facilitated the diagnosis of verrucous carcinoma of the cervix. The features included atypical polygonal and spindle cells with abundant, keratinizing cytoplasm; atypical squamous cells with pearl formation; and frequent, nonkoilocytic cytoplasmic vacuolization., Conclusion: There are 30 published reports on verrucous carcinoma involving the cervix and vagina that include the cytologic findings. In 70% of these cases, cytology was abnormal. Recognition of the cytologic characteristics may help in identifying this lesion on cytology, prevent delays in diagnosis and ensure that patients receive appropriate therapy.
- Published
- 2003
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