Issues in the Differential Diagnosis of Uterine Low-grade Endometrioid Carcinoma, Including Mixed Endometrial Carcinomas: Recommendations from the International Society of Gynecological Pathologists

被引:49
作者
Rabban, Joseph T. [1 ]
Gilks, C. Blake [2 ,3 ]
Malpica, Anais [4 ]
Matias-Guiu, Xavier [5 ,6 ]
Mittal, Khush [7 ]
Mutter, George L. [8 ]
Oliva, Esther [9 ]
Parkash, Vinita [10 ]
Ronnett, Brigitte M. [11 ]
Staats, Paul [12 ]
Stewart, Colin J. R. [13 ,14 ]
McCluggage, W. Glenn [15 ]
机构
[1] Univ Calif San Francisco, Dept Pathol, 1825 4th St, San Francisco, CA 94158 USA
[2] Vancouver Gen Hosp, Dept Pathol & Lab Med, Vancouver, BC, Canada
[3] Univ British Columbia, Vancouver, BC, Canada
[4] Univ Texas MD Anderson Canc Ctr, Dept Pathol, Houston, TX 77030 USA
[5] Univ Hosp Arnau de Vilanova, Dept Pathol, Lleida, Spain
[6] Univ Lleida, Univ Hosp Bellvitge, Dept Pathol, IRBLLEIDA,IDIBELL,CIBERONC, Lleida, Spain
[7] NYU, Dept Pathol, Langone Med Ctr, 550 1St Ave, New York, NY 10016 USA
[8] Brigham & Womens Hosp, Dept Pathol, 75 Francis St, Boston, MA 02115 USA
[9] Massachusetts Gen Hosp, Dept Pathol, Boston, MA 02114 USA
[10] Yale New Haven Med Ctr, Dept Pathol, 20 York St, New Haven, CT 06504 USA
[11] Johns Hopkins Med Inst, Dept Pathol, Baltimore, MD 21205 USA
[12] Univ Maryland, Sch Med, Dept Pathol, Baltimore, MD 21201 USA
[13] Univ Western Australia, Dept Histopathol, King Edward Mem Hosp, Perth, WA, Australia
[14] Univ Western Australia, Sch Womens & Infants Hlth, Perth, WA, Australia
[15] Royal Grp Hosp Trust, Dept Pathol, Belfast, Antrim, North Ireland
关键词
Endometrial cancer; Atypical hyperplasia; Serous carcinoma; Mixed carcinoma; PAPILLARY SEROUS CARCINOMA; UNDIFFERENTIATED CARCINOMA; PROTEIN EXPRESSION; MISMATCH REPAIR; P16; EXPRESSION; ADENOCARCINOMA; MARKERS; CARCINOSARCOMA; CRITERIA; CANCER;
D O I
10.1097/PGP.0000000000000512
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This article provides practical recommendations developed from the International Society of Gynecological Pathologists Endometrial Carcinoma Project to address 4 issues that may arise in the diagnosis of uterine corpus low-grade endometrioid carcinoma: (1) The distinction between atypical hyperplasia and low-grade endometrioid carcinoma. (2) The distinction between low-grade endometrioid carcinoma and serous carcinoma. (3) The distinction between corded and hyalinized or spindle cell variants of low-grade endometrioid carcinoma and carcinosarcoma. (4) The diagnostic criteria for mixed endometrial carcinomas, a rare entity that should be diagnosed only after exclusion of a spectrum of tumors including morphologic variants of endometrioid carcinoma, dedifferentiated endometrial carcinoma, carcinosarcoma, and endometrial carcinomas with ambiguous morphology.
引用
收藏
页码:S25 / S39
页数:15
相关论文
共 51 条
  • [1] Markers of proliferative activity are predictors of patient outcome for low-grade endometrioid adenocarcinoma but not papillary serous carcinoma of endometrium
    Al Kushi, A
    Lim, P
    Aquino-Parsons, C
    Gilks, CB
    [J]. MODERN PATHOLOGY, 2002, 15 (04) : 365 - 371
  • [2] Identification of prognostically relevant and reproducible subsets of endometrial adenocarcinoma based on clustering analysis of immunostaining data
    Alkushi, Abdulmohsen
    Clarke, Blaise A.
    Akbari, Majid
    Makretsov, Nikita
    Lim, Peter
    Miller, Dianne
    Magliocco, Anthony
    Coldman, Andrew
    van de Rijn, Matt
    Huntsman, David
    Parker, Robin
    Gilks, C. Blake
    [J]. MODERN PATHOLOGY, 2007, 20 (11) : 1156 - 1165
  • [3] [Anonymous], 2015, Obstet Gynecol, V125, P1272, DOI 10.1097/01.AOG.0000465189.50026.20
  • [4] [Anonymous], 2014, TUMORS UTERINE CORPU
  • [5] Distinction of endocervical and endometrial adenocarcinomas - Immunohistochemical p16 expression correlated with human papillomavirus (HPV) DNA detection
    Ansari-Lari, MA
    Staebler, A
    Zaino, RJ
    Shah, KV
    Ronnett, BM
    [J]. AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2004, 28 (02) : 160 - 167
  • [6] Endometrioid carcinoma of the uterine corpus: A review of its pathology with emphasis on recent advances and problematic aspects
    Clement, PB
    Young, TH
    [J]. ADVANCES IN ANATOMIC PATHOLOGY, 2002, 9 (03) : 145 - 184
  • [7] Non-endometrioid carcinomas of the uterine corpus: A review of their pathology with emphasis on recent advances and problematic aspects
    Clement, PB
    Young, RH
    [J]. ADVANCES IN ANATOMIC PATHOLOGY, 2004, 11 (03) : 117 - 142
  • [8] Mutation profile and clinical outcome of mixed endometrioid-serous endometrial carcinomas are different from that of pure endometrioid or serous carcinomas
    Coenegrachts, L.
    Garcia-Dios, D. A.
    Depreeuw, J.
    Santacana, M.
    Gatius, S.
    Zikan, M.
    Moerman, P.
    Verbist, L.
    Lambrechts, D.
    Matias-Guiu, Xavier
    Amant, Frederic
    [J]. VIRCHOWS ARCHIV, 2015, 466 (04) : 415 - 422
  • [9] Serous endometrial cancers that mimic endometrioid adenocarcinomas - A clinicopathologic and immunohistochemical study of a group of problematic cases
    Darvishian, T
    Hummer, AJ
    Thaler, HT
    Bhargava, R
    Linkov, I
    Asher, M
    Soslow, RA
    [J]. AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2004, 28 (12) : 1568 - 1578
  • [10] Molecular markers and clinical behavior of uterine carcinosarcomas: focus on the epithelial tumor component
    de Jong, Renske A.
    Nijman, Hans W.
    Wijbrandi, Tera F.
    Reyners, Anna K. L.
    Boezen, H. Marike
    Hollema, Harry
    [J]. MODERN PATHOLOGY, 2011, 24 (10) : 1368 - 1379