Atypical Endometrial Cells Post-menopause: Case Report

Detalhes bibliográficos
Autor(a) principal: Cardoso, Ana
Data de Publicação: 2016
Outros Autores: Alves, Diana, Leite, Paula, Dominguez, Rute
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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spelling 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
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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
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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
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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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