TABLE 3.
Summary of 6 cases with similar histologic features in the endometrial and endocervical tumors
| Patient no. | FIGO stage | FIGO grade | Size and location of tumor in the endometrium | Myometrial invasion/full thickness of uterine wall (mm) | Size/location of tumor in the endocervix | Endocervical stromal invasion/full thickness of cervical wall (mm) | Histologic features | Studies performed |
|---|---|---|---|---|---|---|---|---|
| 9 | IIa | 2 | Diffusely thickened endometrium of 17 mm | 12/28 | No tumor identified on gross exam | N/A | Endometrioid | Clonality |
| 10 | IIb (synchronous right ovarian tumor) | 2 | 5 × 5 mm posterior lower uterine segment | 1/18 | Extending to upper endocervix | 1-mm deep (no full thickness of cervical wall) | Endometrioid with papillary features | Immunohistochemistry |
| 11 | III | 2 | Necrotic endometrium | > 50% | Extending to the entire cervix | Involving both mucosa and stroma | Endometrioid | Immunohistochemistry, HPV DNA/RNA analyses, and clonality |
| 12 | IIb | 2 | 20-mm lower uterine segment | 2/17 | Grossly no tumor present in the cone biopsy specimen or hysterectomy specimen | 3.2 mm deep in the cone biopsy specimen | Endometrioid with extensive papillary areas | Immunohistochemistry and clonality |
| 13 | IIb | 2 | 40-mm cystic structure and 15-mm solid area, 1 cm apart, in the lower uterine segment | 2/20 | No tumor identified on gross exam | 14/20 | Endometrioid | Immunohistochemistry, HPV DNA/RNA in situ analyses, and clonality |
| 14* | IIb | 1 | N/A | N/A | N/A | 30/30 | Endometrioid | Immunohistochemistry, HPV DNA/RNA analyses, and clonality |
Endometrial biopsy and cervical biopsy specimen only.
HPV indicates human papillomavirus; N/A indicates not available.