Postmenopausal women on tamoxifen who are diagnosed with endometrial hyperplasia, even without. It warrants follow up with periodic re biopsy yo make sure nothing else. The patient underwent a total abdominal hysterectomy, bilateral salpingooophorectomy and lymph gland sampling together with a burch colposuspension. Microglandular hyperplasia mgh of the cervix is an epithelial endocervical mucosa benign. Hello, and i am pleased to help, use of my answers are for educational purposes only. Microglandular hyperplasia definition of microglandular. Although according to some studies 1,3 the simultaneous presence of sa lesions and other benign proliferative changes with or without atypia would not affect the stratification of the risk of developing invasive carcinoma, oberman and coworkers found that women in whom sa was associated with atypical hyperplasia had a 2.
We report five cases of microglandular hyperplasia with unusual histologic features. Read microglandular endocervical hyperplasia and tubal metaplasia. Introduction the endometrium lining of the uterus may develop endometrial hyperplasia eh, which includes nonneoplastic entities disordered proliferative endometrium, benign hyperplasia, simple and complex hyperplasias without atypia characterized by a proliferation of endometrial glands of irregular size and shape, and precancerous neoplasms endometrial intraepithelial neoplasms. Microglandular hyperplasia mgh of the uterine cervix is characterized by closely packed glands without intervening stroma, and therefore it mimics malignant glandular lesions,1, 2 especially in a curettage specimen that offers only limited overview of the lesions architecture. Microglandular hyperplasia mgh of the cervix is an epithelial endocervical mucosa benign abnormality lesion associated with gland proliferation. Transitional atypical microglandular adenosis has been proposed increased irregularity and density of glands. The cells of microglandular hyperplasia show less nuclear atypia, they have a low proliferation index mib1 and their cytoplasm contains mucin, not glycogen. Uniform glandular cells with fenestration or microacini acta cytol 1999. However, in vaginal adenosis, there is mulleriantype glandular epithelium in the affected area. P16 immunostaining patterns in microglandular hyperplasia of.
Pdf to identify cytomorphologic features specific to microglandular. Genetic analysis of microglandular adenosis and acinic cell. Nonneoplastic lesions of the prostate and bladder only about 60% of the breast cancers that develop in women with either atypical lobular hyperplasia or atypical ductal hyperplasia occur in the ipsilateral breast. It is usually referred to simply as microglandular hyperplasia, abbreviated mgh, and. Ho f c yt o log i a l st u r n olg journal of cytology. When carcinomas arise in mga, there is often a transition from ordinary mga to. There are many other names for this condition, including aggregate adenosis, tumoral adenosis, or. Endometrioid endometrial carcinoma libre pathology. Therefore, a microglandular hyperplasia of the cervix was seriously considered. Cervix a localised proliferation of endocervical cells linked to oral contraceptive use and pregnancy.
An infiltrate of polymorphs was a prominent feature in most cases, and some neoplasms showed areas of microglandular architecture with cytoplasmic clearing and intraluminal polymorphs, the features closely resembling cervical microglandular hyperplasia figure. Hyperplasia of the salivary gland can be acinar, ductal figure 2, figure 4, figure 5, and figure 6, or both. Fortythree cases of microglandular hyperplasia of the cervix seen during a 3. In contrast to invasive adenocarcinoma, microglandular hyperplasia reacts negatively for cea and for p16ink4a. Hyperplasia definition of hyperplasia by the free dictionary. Microglandular hyperplasia of the uterine cervix is a relatively common benign finding of the uterine cervix that may be confused with malignancy, especially endocervical adenocarcinoma. Microglandular hyperplasia of the uterine cervix libre. It may lead to the gross enlargement of an organ, and the term is sometimes confused with benign neoplasia or benign tumor. Stolk 1 department of obstetrics and gycology and 1 department of pathology, academic hospital, vrije universiteit. Microglandular adenosis of the breast radiology reference.
Microglandular adenosis of the breast encompasses a spectrum of lesions, ranging from pure forms without atypia, to atypical microglandular adenosis and carcinomaassociated lesions. Apparently disproportionate numbers of metaplastic, adenoid cystic and basallike carcinomas. The terminology of premalignant endocervical glandular lesions is discussed because of the differences between the uk terminology and the widely used world health organisation classification. It was frequently confused with adenocarcinoma or premalignant glandular changes until its benign nature was recognized. It is benign breast condition although can mimic a breast cancer particularly tubular breast carcinoma 3,5 both clinically, radiology and pathologically. Microglandular adenosis mga of the breast is a pathological subtype of mammary adenosis. Age and sex distribution microglandular hyperplasia of uterine cervix is observed in adult women, but is most common between ages 2035 years during the active reproductive phase of a woman there is no known ethnic or racial preference. It warrants follow up with periodic re biopsy yo make sure nothing else is. Atypical hyperplasia is less common than usual hyperplasia. A subsequent biopsy revealed microglandular hyperplasia. It is usually referred to simply as microglandular hyperplasia, abbreviated mgh, and is also known as microglandular change. It can terminate in mature squamous metaplasia, and it is suspected reserve cells are involved in this process, perhaps in the form of reserve cell hyperplasia with glandular differentiation. Pitfalls in the diagnosis of adenocarcinoma on cervical smears, diagnostic cytopathology on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
Age and sex distribution microglandular hyperplasia of uterine cervix is observed in adult women, but is most common between ages 2035 years during the active reproductive phase of. One study found women diagnosed with atypical hyperplasia had about a 29 percent chance of developing breast cancer within 25 years 177. Florid endocervical microglandular hyperplasia in association with tamoxifen. Adenosis is a benign noncancerous breast condition in which the lobules milkproducing glands are enlarged, and there are more glands than usual. Our data show that a significantly higher percentage of women with microglandular hyperplasia had progestin exposure than women who do not exhibit this. Microglandular hyperplasia is a lesion of the uterine endocervical mucosa, often associated with a story of contraceptive drugs or pregnancy. Women with atypical hyperplasia have about 35 times the breast cancer risk of women without a proliferative breast condition 174176. For each case of mgh, a control was chosen, consisting of a case in the same time frame of a woman of similar age who had undergone the same procedure biopsy, conization, hysterectomy for the same indication. The glandular lining cells show bland morphology and the glandular lumen often contains pas.
Pdf microglandular hyperplasia of the uterine cervix. This is suggestive of an increased estrogen state and maybe be a precursor to endometrial hyperplasia. Normally, the lining of the vagina contains squamous epithelium. Additionally, evidence of estrogenic stimulation was present in eight cases. Etiology adenosis of vagina is the presence of benign cervicalendometrial glandular tissue in the vaginal tract. Although microglandular hyperplasia is a benign endocervical lesion, it may raise.
Microglandular endocervical hyperplasia and tubal metaplasia. The series is unusual in that more than onehalf of the patients had no history of oral contraceptive use and three patients were postmenopausal. Ten patients treated by mastectomy were recurrence free. Pathological findings the uterus was bulky, weighing 292 g and measuring 114. Nov 24, 2018 who gets microglandular hyperplasia of uterine cervix.
Microglandular endocervical hyperplasia definition of. The microglandular variant of endometrioid adenocarcinoma of the endometrium mga is a rare tumour that morphologically mimics microglandular hyperplasia mgh, a common lesion of the cervix. Uterine carcinomas simulating microglandular hyperplasia. Sep 20, 2012 glandular adenomatous hyperplasia of the endocervix last updated on thu, 20 sep 2012 cell differentiation new glands form and the glandular epithelial cells become pseudostratified fig. Hyperplasias article about hyperplasias by the free dictionary. Microglandular adenosis ma and atypical microglandular adenosis ama are rare benign lesions that can mimic invasive carcinoma of the breast both clinically and on histopathological examination. Glandular adenomatous hyperplasia of the endocervix last updated on thu, 20 sep 2012 cell differentiation new glands form and the glandular epithelial cells become pseudostratified fig. Microglandular adenosis of the breast surgical pathology. Microglandular hyperplasia a complicating factor in the. Glandular adenomatous hyperplasia of the endocervix cell. Who gets microglandular hyperplasia of uterine cervix. Endometriosis was identified in the same ovary in 10 cases, and in 10 there was. The incidence of malignant and premalignant endocervical glandular lesions is increasing. Adenosis is often found in biopsies of women who have fibrosis or cysts in their breasts.
Postatrophic hyperplasia is also referred to as nodular hyperplasia or lobular atrophy. What is focal endocervical microglandular hyperplasia and. Microglandular hyperplasia a complicating factor in the diagnosis. Cervical microglandular hyperplasia new doctor insights. Carcinoma, in situ and invasive, has been reported in association with microglandular adenosis reported in up to 27%.
Microglandular hyperplasia of the endocervix 72480 cell. If you are in hormone supplements or tamoxifen you should consider stopping them. When carcinomas arise in mga, there is often a transition from ordinary mga to atypical mga amga to carcinoma. We present a rare case of microglandular carcinoma of the uterus occurring in. Microglandular adenosis mga of the breast is an uncommon, benign lesion that may mimic invasive carcinoma and has recently been recognized as having significant premalignant potential. Cx low grade squamous atypicalhave immature squamous metaplasia cx r85. Although endocervical microglandular hyperplasia mgh is a common diagnosis, it can be confused with adenocarcinoma aca, mainly of the. Clinical significance of atypical glandular cells of undetermined. A documented history of current oral contraception or pregnancy within the. Hyperplasia of acini results in an increase in individual acinar units but not in ducts, whereas hyperplasia of the ducts is described as an increase in ducts without a concomitant increase in acinar structures. Atypical forms of microglandular hyperplasia of the cervix s. Squamous morules in endometrioid endometrial carcinoma not associated with hpv infection. P16 immunostaining patterns in microglandular hyperplasia of the cervix and their significance.
Feb 29, 2012 hello, and i am pleased to help, use of my answers are for educational purposes only. Association of cervical microglandular hyperplasia with. Here you can read posts from all over the web from people who wrote about chronic cervicitis and hyperplasia, and check the relations between chronic cervicitis and hyperplasia. Cervical microglandular hyperplasia is an unusual lesion that may confused with malignancy, by both. For this reason, incorrect diagnosis results in markedly different treatment pathways for the patient, with potentially harmful outcomes.
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