Atypical Endometrial Cells Post-menopause: Case Report
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.26537/citotech.v0i2.497 |
Resumo: | The presence of endometrial cells is considered an alarming finding in gynecological smears of women in the second half of the menstrual cycle or after the age of 45 years. In particular, in post- menopausal women, the presence of atypical endometrial cells may represent a serious uterine pathology and requires a thorough evaluation.We report a case of a 77 year post-menopausal woman, who presented with vaginal bleeding without ecographic uterine alterations. Cervicovaginal cytology revealed the presence of abnormal endometrial cells in clusters, unusual in the clinical context of the woman. The cytological result was atypical glandular cells, favor neoplastic. Based on this result, the patient was submitted to an endometrial curettage, which was diagnosed as carcinosarcoma, and with a radical hysterectomy.Although the cytological result was not in accordance with the histological diagnosis, it indicates the necessity of studying the endometrium and the subsequent diagnosis of carcinosarcoma. |
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Atypical Endometrial Cells Post-menopause: Case ReportCélulas Endometriais Atípicas Pós-menopausa: Estudo de Casocarcinosarcomaatypical glandular cellsgynecological cytologypost-menopauseconventional cytologycarcinossarcomacélulas glandulares atípicascitologia ginecológicapós-menopausacitologia convencionalThe presence of endometrial cells is considered an alarming finding in gynecological smears of women in the second half of the menstrual cycle or after the age of 45 years. In particular, in post- menopausal women, the presence of atypical endometrial cells may represent a serious uterine pathology and requires a thorough evaluation.We report a case of a 77 year post-menopausal woman, who presented with vaginal bleeding without ecographic uterine alterations. Cervicovaginal cytology revealed the presence of abnormal endometrial cells in clusters, unusual in the clinical context of the woman. The cytological result was atypical glandular cells, favor neoplastic. Based on this result, the patient was submitted to an endometrial curettage, which was diagnosed as carcinosarcoma, and with a radical hysterectomy.Although the cytological result was not in accordance with the histological diagnosis, it indicates the necessity of studying the endometrium and the subsequent diagnosis of carcinosarcoma.A presença de células endometriais é considerada um fator de alerta em esfregaços ginecológicos de mulheres na segunda metade do ciclo menstrual ou a partir dos 45 anos. Em mulheres pós-menopáusicas, a presença de células endometriais atípicas pode revelar uma patologia uterina grave e requer uma avaliação mais aprofundada.Apresentamos um caso de uma mulher de 77 anos, em pós-menopausa, que se apresentava com perda hemática vaginal e sem alterações uterinas à ecografia. O exame citológico revelou grupos de células endometriais com atipia nuclear, que dentro do contexto clínico da paciente é considerado anormal. O resultado citológico foi células glandulares atípicas, a favorecer neoplasia. Baseado neste resultado, a paciente fez uma curetagem uterina, cujo diagnóstico foi carcinossarcoma, e fez histerectomia radical.Apesar do resultado citológico não ser concordante com o diagnóstico histológico, indicou a necessidade de se estudar o endométrio e permitiu o subsequente diagnóstico de carcinossarcoma.Escola de Superior de Saúde | Instituto Politécnico do Porto2016-06-16T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.26537/citotech.v0i2.497oai:oai.parc.ipp.pt:article/497Citotech Online - Case Review; No. 2 (2016): Citotech Online - Case Review; 14-18Citotech Online - Case Review; N.º 2 (2016): Citotech Online - Case Review; 14-182183-735Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPengporhttps://parc.ipp.pt/index.php/citotech/article/view/497https://doi.org/10.26537/citotech.v0i2.497https://parc.ipp.pt/index.php/citotech/article/view/497/2228https://parc.ipp.pt/index.php/citotech/article/view/497/218Copyright (c) 2017 Citotech Online - Case Reviewhttps://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessCardoso, AnaAlves, DianaLeite, PaulaDominguez, Rute2022-09-20T11:09:45Zoai:oai.parc.ipp.pt:article/497Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:49:04.362958Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Atypical Endometrial Cells Post-menopause: Case Report Células Endometriais Atípicas Pós-menopausa: Estudo de Caso |
title |
Atypical Endometrial Cells Post-menopause: Case Report |
spellingShingle |
Atypical Endometrial Cells Post-menopause: Case Report Cardoso, Ana carcinosarcoma atypical glandular cells gynecological cytology post-menopause conventional cytology carcinossarcoma células glandulares atípicas citologia ginecológica pós-menopausa citologia convencional |
title_short |
Atypical Endometrial Cells Post-menopause: Case Report |
title_full |
Atypical Endometrial Cells Post-menopause: Case Report |
title_fullStr |
Atypical Endometrial Cells Post-menopause: Case Report |
title_full_unstemmed |
Atypical Endometrial Cells Post-menopause: Case Report |
title_sort |
Atypical Endometrial Cells Post-menopause: Case Report |
author |
Cardoso, Ana |
author_facet |
Cardoso, Ana Alves, Diana Leite, Paula Dominguez, Rute |
author_role |
author |
author2 |
Alves, Diana Leite, Paula Dominguez, Rute |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Cardoso, Ana Alves, Diana Leite, Paula Dominguez, Rute |
dc.subject.por.fl_str_mv |
carcinosarcoma atypical glandular cells gynecological cytology post-menopause conventional cytology carcinossarcoma células glandulares atípicas citologia ginecológica pós-menopausa citologia convencional |
topic |
carcinosarcoma atypical glandular cells gynecological cytology post-menopause conventional cytology carcinossarcoma células glandulares atípicas citologia ginecológica pós-menopausa citologia convencional |
description |
The presence of endometrial cells is considered an alarming finding in gynecological smears of women in the second half of the menstrual cycle or after the age of 45 years. In particular, in post- menopausal women, the presence of atypical endometrial cells may represent a serious uterine pathology and requires a thorough evaluation.We report a case of a 77 year post-menopausal woman, who presented with vaginal bleeding without ecographic uterine alterations. Cervicovaginal cytology revealed the presence of abnormal endometrial cells in clusters, unusual in the clinical context of the woman. The cytological result was atypical glandular cells, favor neoplastic. Based on this result, the patient was submitted to an endometrial curettage, which was diagnosed as carcinosarcoma, and with a radical hysterectomy.Although the cytological result was not in accordance with the histological diagnosis, it indicates the necessity of studying the endometrium and the subsequent diagnosis of carcinosarcoma. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-06-16T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.26537/citotech.v0i2.497 oai:oai.parc.ipp.pt:article/497 |
url |
https://doi.org/10.26537/citotech.v0i2.497 |
identifier_str_mv |
oai:oai.parc.ipp.pt:article/497 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://parc.ipp.pt/index.php/citotech/article/view/497 https://doi.org/10.26537/citotech.v0i2.497 https://parc.ipp.pt/index.php/citotech/article/view/497/2228 https://parc.ipp.pt/index.php/citotech/article/view/497/218 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Citotech Online - Case Review https://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Citotech Online - Case Review https://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Escola de Superior de Saúde | Instituto Politécnico do Porto |
publisher.none.fl_str_mv |
Escola de Superior de Saúde | Instituto Politécnico do Porto |
dc.source.none.fl_str_mv |
Citotech Online - Case Review; No. 2 (2016): Citotech Online - Case Review; 14-18 Citotech Online - Case Review; N.º 2 (2016): Citotech Online - Case Review; 14-18 2183-735X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130356408909824 |