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Hyun Yee Cho 19 Articles
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Comparison of papanicolaou smear and human papillomavirus (HPV) test as cervical screening tools: can we rely on HPV test alone as a screening method? An 11-year retrospective experience at a single institution
Myunghee Kang, Seung Yeon Ha, Hyun Yee Cho, Dong Hae Chung, Na Rae Kim, Jungsuk An, Sangho Lee, Jae Yeon Seok, Juhyeon Jeong
J Pathol Transl Med. 2020;54(1):112-118.   Published online January 15, 2020
DOI: https://doi.org/10.4132/jptm.2019.11.29
  • 9,977 View
  • 248 Download
  • 19 Web of Science
  • 20 Crossref
AbstractAbstract PDF
Background
The decrease in incidence of cervical dysplasia and carcinoma has not been as dramatic as expected with the development of improved research tools and test methods. The human papillomavirus (HPV) test alone has been suggested for screening in some countries. The National Cancer Screening Project in Korea has applied Papanicolaou smears (Pap smears) as the screening method for cervical dysplasia and carcinoma. We evaluated the value of Pap smear and HPV testing as diagnostic screening tools in a single institution.
Methods
Patients co-tested with HPV test and Pap smear simultaneously or within one month of each other were included in this study. Patients with only punch biopsy results were excluded because of sampling errors. A total of 999 cases were included, and the collected reports encompassed results of smear cytology, HPV subtypes, and histologic examinations.
Results
Sensitivity and specificity of detecting high-grade squamous intraepithelial lesion (HSIL) and squamous cell carcinoma (SCC) were higher for Pap smears than for HPV tests (sensitivity, 97.14%; specificity, 85.58% for Pap smears; sensitivity, 88.32%; specificity, 54.92% for HPV tests). HPV tests and Pap smears did not differ greatly in detection of low-grade squamous intraepithelial lesion (85.35% for HPV test, 80.31% for Pap smears). When atypical glandular cells were noted on Pap smears, the likelihood for histologic diagnosis of adenocarcinoma following Pap smear was higher than that of high-risk HPV test results (18.8 and 1.53, respectively).
Conclusions
Pap smears were more useful than HPV tests in the diagnosis of HSIL, SCC, and glandular lesions.

Citations

Citations to this article as recorded by  
  • Detection of cervical precancerous lesions and cancer by small-scale RT-qPCR analysis of oppositely deregulated mRNAs pairs in cytological smears
    Anastasia A. Artyukh, Mikhail K. Ivanov, Sergei E. Titov, Victoria V. Dzyubenko, Sergey E. Krasilnikov, Anastasia O. Shumeikina, Nikita A. Afanasev, Anastasia V. Malek, Sergei A. Glushkov, Eduard F. Agletdinov
    Frontiers in Oncology.2025;[Epub]     CrossRef
  • High burden of abnormal cervical smears in South African primary health care: health programmes implications
    Olufemi B Omole, Joel M Francis, John M Musonda, Pumla P Sodo, Elizabeth Reji, Nyundu S J Phukuta, Honey L M Mabuza, Joyce S Musonda, Jimmy Akii, John V Ndimande, Olalekan A Ayo-Yusuf
    Health Promotion International.2025;[Epub]     CrossRef
  • Bibliometric analysis: a study of the microenvironment in cervical cancer (2000-2024)
    Yun-Tao Zhang, Yan-Ni Wei, Chen-Chen Liu, Mai-Qing Yang
    Frontiers in Oncology.2025;[Epub]     CrossRef
  • Challenges in the diagmosis of cervical pathologies
    D. Y. Chernov, O. A. Tikhonovskaya, S. V. Logvinov, I. A. Petrov, Y. S. Yuriev, A. A. Zhdankina, A. V. Gerasimov, I. V. Zingalyuk, G. A. Mikheenko
    Bulletin of Siberian Medicine.2024; 22(4): 201.     CrossRef
  • “Barriers and Advantages of Self-Sampling Tests, for HPV Diagnosis: A Qualitative Field Experience Before Implementation in a Rural Community in Ecuador”
    Bernardo Vega-Crespo, Vivian Alejandra Neira, Ruth Maldonado - Rengel, Diana López, Dayanara Delgado-López, Gabriela Guerra Astudillo, Veronique Verhoeven
    International Journal of Women's Health.2024; Volume 16: 947.     CrossRef
  • Cervical Human Papillomavirus Testing
    Carol N. Rizkalla, Eric C. Huang
    Surgical Pathology Clinics.2024; 17(3): 431.     CrossRef
  • Segmentation of Overlapping Cells in Cervical Cytology Images: A Survey
    E Chen, Hua-Nong Ting, Joon Huang Chuah, Jun Zhao
    IEEE Access.2024; 12: 114170.     CrossRef
  • Knowledge and awareness regarding pap test and HPV typing for cervical cancer screening in Edo North, Nigeria
    Amina Momodu, Johnsolomon Eghosa Ohenhen, Godfrey Innocent Iyare, Musa Abidemi Muhibi, Godwin Avwioro
    Discover Public Health.2024;[Epub]     CrossRef
  • Colposcopy Value in Young Child-bearing Women: Is New Recommendations Necessary?
    Fahimeh Sabet, Avishan Aminizad, Fariba Behnamfar, Tajossadat Allameh, Seyedeh Ghazal Shahrokh, Rostami Koushan, Amirmohammad Taravati, Leila Mousavi Seresht
    Advanced Biomedical Research.2024;[Epub]     CrossRef
  • Selection of endogenous control and identification of significant microRNA deregulations in cervical cancer
    T. Stverakova, I. Baranova, P. Mikyskova, B. Gajdosova, H. Vosmikova, J. Laco, V. Palicka, H. Parova
    Frontiers in Oncology.2023;[Epub]     CrossRef
  • Cytology Versus Molecular Diagnosis of HPV for Cervical Cancer Screening. Comparison of the Diagnostic Properties of Four Tests in a Rural Community of Cuenca Ecuador
    Bernardo Vega Crespo, Vivian Alejandra Neira, Rocío Murillo, Cristina Ochoa Avilés
    ESPOCH Congresses: The Ecuadorian Journal of S.T.E.A.M..2023; 3(1): 139.     CrossRef
  • Attitudes towards prevention of cervical cancer and early diagnosis among female academicians
    Nurhan Doğan, Gamze Fışkın
    Journal of Obstetrics and Gynaecology Research.2022; 48(6): 1433.     CrossRef
  • Role of Self-Sampling for Cervical Cancer Screening: Diagnostic Test Properties of Three Tests for the Diagnosis of HPV in Rural Communities of Cuenca, Ecuador
    Bernardo Vega Crespo, Vivian Alejandra Neira, José Ortíz Segarra, Ruth Maldonado Rengel, Diana López, María Paz Orellana, Andrea Gómez, María José Vicuña, Jorge Mejía, Ina Benoy, Tesifón Parrón Carreño, Veronique Verhoeven
    International Journal of Environmental Research and Public Health.2022; 19(8): 4619.     CrossRef
  • Utility of Scoring System for Screening and Early Warning of Cervical Cancer Based on Big Data Analysis
    Dan Hou, Binjie Yang, Yangdan Li, Ming Sun
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Evaluation of Urine and Vaginal Self-Sampling versus Clinician-Based Sampling for Cervical Cancer Screening: A Field Comparison of the Acceptability of Three Sampling Tests in a Rural Community of Cuenca, Ecuador
    Bernardo Vega Crespo, Vivian Alejandra Neira, José Ortíz S, Ruth Maldonado-Rengel, Diana López, Andrea Gómez, María José Vicuña, Jorge Mejía, Ina Benoy, Tesifón Parrón Carreño, Veronique Verhoeven
    Healthcare.2022; 10(9): 1614.     CrossRef
  • Diagnostic distribution and pitfalls of glandular abnormalities in cervical cytology: a 25-year single-center study
    Jung-A Sung, Ilias P. Nikas, Haeryoung Kim, Han Suk Ryu, Cheol Lee
    Journal of Pathology and Translational Medicine.2022; 56(6): 354.     CrossRef
  • Primary screening of cervical cancer by Pap smear in women of reproductive age group
    Ruchi Mishra, Dakshina Bisht, Manisha Gupta
    Journal of Family Medicine and Primary Care.2022; 11(9): 5327.     CrossRef
  • Comparison of Learning Transfer Using Simulation Problem-Based Learning and Demonstration: An Application of Papanicolaou Smear Nursing Education
    Jeongim Lee, Hae Kyoung Son
    International Journal of Environmental Research and Public Health.2021; 18(4): 1765.     CrossRef
  • Investigating host-virus interaction mechanism and phylogenetic analysis of viral proteins involved in the pathogenesis
    Ahmad Abu Turab Naqvi, Farah Anjum, Alaa Shafie, Sufian Badar, Abdelbaset Mohamed Elasbali, Dharmendra Kumar Yadav, Md. Imtaiyaz Hassan, Timir Tripathi
    PLOS ONE.2021; 16(12): e0261497.     CrossRef
  • Utility of Human Papillomavirus Testing for Cervical Cancer Screening in Korea
    Mee-seon Kim, Eun Hee Lee, Moon-il Park, Jae Seok Lee, Kisu Kim, Mee Sook Roh, Hyoun Wook Lee
    International Journal of Environmental Research and Public Health.2020; 17(5): 1726.     CrossRef
Squamous Cell Carcinoma of the Extrahepatic Common Hepatic Duct
Myunghee Kang, Na Rae Kim, Dong Hae Chung, Hyun Yee Cho, Yeon Ho Park
J Pathol Transl Med. 2019;53(2):112-118.   Published online October 1, 2018
DOI: https://doi.org/10.4132/jptm.2018.09.03
  • 7,657 View
  • 172 Download
  • 8 Web of Science
  • 9 Crossref
AbstractAbstract PDF
We report a rare case of hilar squamous cell carcinoma. A 62-year-old Korean woman complaining of nausea was referred to our hospital. Her biliary computed tomography revealed a 28 mm-sized protruding solid mass in the proximal common bile duct. The patient underwent left hemihepatectomy with S1 segmentectomy and segmental excision of the common bile duct. Microscopically, the tumor was a moderately differentiated squamous cell carcinoma of the extrahepatic bile duct, without any component of adenocarcinoma or metaplastic portion in the biliary epithelium. Immunohistochemically, the tumor was positive for cytokeratin (CK) 5/6, CK19, p40, and p63. Squamous cell carcinoma of the extrahepatic bile duct is rare. To date, only 24 cases of biliary squamous cell carcinomas have been reported. Here, we provide a clinicopathologic review of previously reported extrahepatic bile duct squamous cell carcinomas.

Citations

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  • Cholangiocarcinoma With Liver Metastasis in Squamous Cell Carcinoma Type: A Case Report
    Jane Chiang
    Journal of Diagnostic Medical Sonography.2024; 40(6): 609.     CrossRef
  • A Rare Case of Squamous Cell Carcinoma of the Bile Duct
    Julianna Tantum, Rachael Schneider, Stefanie Gallagher, Kyley Leroy, Jared Lander, Patricia Wong
    ACG Case Reports Journal.2023; 10(8): e01119.     CrossRef
  • Metastatic Anal Squamous Cell Carcinoma Presenting as an Indeterminate Biliary Stricture Diagnosed By Cholangioscopy
    Ritu Nahar, Ian Holmes, Jeffrey Baliff, Austin Chiang, Thomas Kowalski
    ACG Case Reports Journal.2022; 9(6): e00785.     CrossRef
  • Temporal Changes in Cholangiocarcinoma Incidence and Mortality in the United States from 2001 to 2017
    Milind Javle, Sunyoung Lee, Nilofer S Azad, Mitesh J Borad, Robin Kate Kelley, Smitha Sivaraman, Anna Teschemaker, Ishveen Chopra, Nora Janjan, Shreekant Parasuraman, Tanios S Bekaii-Saab
    The Oncologist.2022; 27(10): 874.     CrossRef
  • PRIMARY SQUAMOUS CELL CARCINOMA OF THE COMMON BILE DUCT WITH LIVER METASTASES
    Dhouha BACHA, Mohamed HAJRI, Wael FERJAOUI, Ghofrane TALBI, Lasaad GHARBI, Mohamed Taher KHALFALLAH, Sana ben SLAMA, Ahlem LAHMAR
    ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo).2021;[Epub]     CrossRef
  • S1510 A Rare Case of Squamous Cell Carcinoma of the Bile Duct
    Stefanie Gallagher, Kyley Leroy, Julianna Tantum, Babak Etemad
    American Journal of Gastroenterology.2021; 116(1): S688.     CrossRef
  • Heparin

    Reactions Weekly.2019; 1752(1): 184.     CrossRef
  • Carcinoma primario de células escamosas del conducto hepático común: a propósito de un caso
    Ana Delgado Maroto, Andrés Barrientos Delgado, Marta Lázaro Sáez, Samia Hallouch Toutouh, Enrique Práxedes González
    Gastroenterología y Hepatología.2019; 42(7): 436.     CrossRef
  • Primary squamous cell carcinoma of the extrahepatic bile duct: A case report
    Ana Delgado Maroto, Andrés Barrientos Delgado, Marta Lázaro Sáez, Samia Hallouch Toutouh, Enrique Práxedes González
    Gastroenterología y Hepatología (English Edition).2019; 42(7): 436.     CrossRef
Intraoperative Frozen Cytology of Central Nervous System Neoplasms: An Ancillary Tool for Frozen Diagnosis
Myunghee Kang, Dong Hae Chung, Na Rae Kim, Hyun Yee Cho, Seung Yeon Ha, Sangho Lee, Jungsuk An, Jae Yeon Seok, Gie-Taek Yie, Chan Jong Yoo, Sang Gu Lee, Eun Young Kim, Woo Kyung Kim, Seong Son, Sun Jin Sym, Dong Bok Shin, Hee Young Hwang, Eung Yeop Kim, Kyu Chan Lee
J Pathol Transl Med. 2019;53(2):104-111.   Published online January 14, 2019
DOI: https://doi.org/10.4132/jptm.2018.11.10
  • 11,376 View
  • 659 Download
  • 8 Web of Science
  • 8 Crossref
AbstractAbstract PDF
Background
Pathologic diagnosis of central nervous system (CNS) neoplasms is made by comparing light microscopic, immunohistochemical, and molecular cytogenetic findings with clinicoradiologic observations. Intraoperative frozen cytology smears can improve the diagnostic accuracy for CNS neoplasms. Here, we evaluate the diagnostic value of cytology in frozen diagnoses of CNS neoplasms.
Methods
Cases were selected from patients undergoing both frozen cytology and frozen sections. Diagnostic accuracy was evaluated.
Results
Four hundred and fifty-four cases were included in this retrospective single-center review study covering a span of 10 years. Five discrepant cases (1.1%) were found after excluding 53 deferred cases (31 cases of tentative diagnosis, 22 cases of inadequate frozen sampling). A total of 346 cases of complete concordance and 50 cases of partial concordance were classified as not discordant cases in the present study. Diagnostic accuracy of intraoperative frozen diagnosis was 87.2%, and the accuracy was 98.8% after excluding deferred cases. Discrepancies between frozen and permanent diagnoses (n = 5, 1.1%) were found in cases of nonrepresentative sampling (n = 2) and misinterpretation (n = 3). High concordance was observed more frequently in meningeal tumors (97/98, 99%), metastatic brain tumors (51/52, 98.1%), pituitary adenomas (86/89, 96.6%), schwannomas (45/47, 95.8%), high-grade astrocytic tumors (47/58, 81%), low grade astrocytic tumors (10/13, 76.9%), non-neoplastic lesions (23/36, 63.9%), in decreasing frequency.
Conclusions
Using intraoperative cytology and frozen sections of CNS tumors is a highly accurate diagnostic ancillary method, providing subtyping of CNS neoplasms, especially in frequently encountered entities.

Citations

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  • Intraoperative Integrated Diagnostic System for Malignant Central Nervous System Tumors
    Takahiro Hayashi, Kensuke Tateishi, Shinichiro Matsuyama, Hiromichi Iwashita, Yohei Miyake, Akito Oshima, Hirokuni Honma, Jo Sasame, Katsuhiro Takabayashi, Kyoka Sugino, Emi Hirata, Naoko Udaka, Yuko Matsushita, Ikuma Kato, Hiroaki Hayashi, Taishi Nakamur
    Clinical Cancer Research.2024; 30(1): 116.     CrossRef
  • A multicenter proof-of-concept study on deep learning-based intraoperative discrimination of primary central nervous system lymphoma
    Xinke Zhang, Zihan Zhao, Ruixuan Wang, Haohua Chen, Xueyi Zheng, Lili Liu, Lilong Lan, Peng Li, Shuyang Wu, Qinghua Cao, Rongzhen Luo, Wanming Hu, Shanshan lyu, Zhengyu Zhang, Dan Xie, Yaping Ye, Yu Wang, Muyan Cai
    Nature Communications.2024;[Epub]     CrossRef
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  • Unveiling the potential application of intraoperative brain smear for brain tumor diagnosis in low-middle-income countries: A comprehensive systematic review
    Muhammad Shakir, Ahmed Altaf, Hawra Hussain, Syed Muhammad Aqeel Abidi, Zoey Petitt, Mahnoor Tariq, Ahmed Gilani, S. Ather Enam
    Surgical Neurology International.2023; 14: 325.     CrossRef
  • A Comparative Study of Squash Smear Cytology Diagnosis and Radiological Diagnosis with Histopathology in Central Nervous System Lesions
    B N Kumarguru, G Santhipriya, S Kranthi Kumar, R Ramesh Kumar, A S Ramaswamy, P Janakiraman
    Journal of Cytology.2022; 39(1): 1.     CrossRef
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    Cytopathology.2020; 31(2): 106.     CrossRef
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    World Neurosurgery.2019; 132: 21.     CrossRef
Post-transplant Amputation Traumatic Neuroma of the Hilum and Extrahepatic Duct in a Liver Donor
Na Rae Kim, Hyun Yee Cho, Dong Hae Chung, Keon Kuk Kim, Jae Hee Cho, Seung Joon Choi
J Pathol Transl Med. 2018;52(3):191-194.   Published online August 4, 2017
DOI: https://doi.org/10.4132/jptm.2017.01.20
  • 6,145 View
  • 112 Download
  • 1 Web of Science
  • 2 Crossref
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Citations

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  • Biliary tree traumatic neuroma following laparoscopic cholecystectomy: A case report and literature review
    Hemn Kaka Ali, Dana Gharib, Marwan Hassan, Ari Abdullah, Deari Ismaeil, Omar Ghalib Hawramy, Dlshad Ahmed, Dilan Hiwa, Berun Abdalla, Fahmi Kakamad
    Medicine International.2023;[Epub]     CrossRef
  • Hilar Biliary Amputation Neuroma Following Liver Transplant: A Case Report and Review of the Literature for this Diagnostic and Therapeutic Challenge
    Sarang Thaker, Najib Nassani, Bartlomiej Lukasz Radzik, Christine Chan, Wadih Chacra, Sean Koppe, Grace Guzman, Adam E. Mikolajczyk
    Transplantation Direct.2022; 8(12): e1405.     CrossRef
Rare Case of Anal Canal Signet Ring Cell Carcinoma Associated with Perianal and Vulvar Pagetoid Spread
Na Rae Kim, Hyun Yee Cho, Jeong-Heum Baek, Juhyeon Jeong, Seung Yeon Ha, Jae Yeon Seok, Sung Won Park, Sun Jin Sym, Kyu Chan Lee, Dong Hae Chung
J Pathol Transl Med. 2016;50(3):231-237.   Published online October 8, 2015
DOI: https://doi.org/10.4132/jptm.2015.08.08
  • 12,126 View
  • 141 Download
  • 4 Web of Science
  • 4 Crossref
AbstractAbstract PDF
A 61-year-old woman was referred to surgery for incidentally found colonic polyps during a health examination. Physical examination revealed widespread eczematous skin lesion without pruritus in the perianal and vulvar area. Abdominopelvic computed tomography showed an approximately 4-cm-sized, soft tissue lesion in the right perianal area. Inguinal lymph node dissection and Mils’ operation extended to perianal and perivulvar skin was performed. Histologically, the anal canal lesion was composed of mucin-containing signet ring cells, which were similar to those found in Pagetoid skin lesions. It was diagnosed as an anal canal signet ring cell carcinoma (SRCC) with perianal and vulvar Pagetoid spread and bilateral inguinal lymph node metastasis. Anal canal SRCC is rare, and the current case is the third reported case in the English literature. Seven additional cases were retrieved from the world literature. Here, we describe this rare case of anal canal SRCC with perianal Pagetoid spread and provide a literature review.

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  • Primary Carcinomas of the Episiotomy Scar Site: A Systematic Literature Review
    Andrea Palicelli, Federica Torricelli, Gabriele Tonni, Alessandra Bisagni, Eleonora Zanetti, Magda Zanelli, Venus Damaris Medina-Illueca, Beatrice Melli, Maurizio Zizzo, Andrea Morini, Maria Paola Bonasoni, Giacomo Santandrea, Giuseppe Broggi, Rosario Cal
    Current Oncology.2025; 32(2): 65.     CrossRef
  • A Case of Prostatic Signet-Ring Cell-like Carcinoma with Pagetoid Spread and Intraductal Carcinoma and Long-Term Survival: PD-L1 and Mismatch Repair System Proteins (MMR) Immunohistochemical Evaluation with Systematic Literature Review
    Nektarios Koufopoulos, Argyro-Ioanna Ieronimaki, Andriani Zacharatou, Alina Roxana Gouloumis, Danai Leventakou, Ioannis Boutas, Dionysios T. Dimas, Adamantia Kontogeorgi, Kyparissia Sitara, Lubna Khaldi, Magda Zanelli, Andrea Palicelli
    Journal of Personalized Medicine.2023; 13(6): 1016.     CrossRef
  • Anal canal adenocarcinoma with neuroendocrine features accompanying secondary extramammary Paget disease, successfully treated with modified FOLFOX6: a case report
    Masamichi Yamaura, Takeshi Yamada, Rei Watanabe, Hitomi Kawai, Suguru Hirose, Hiroki Tajima, Masashi Sato, Yuichi Uchida, Daisuke Suganuma, Yoshiyuki Yamamoto, Toshikazu Moriwaki, Ichinosuke Hyodo
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    Ken Imaizumi, Shigenori Homma, Tadashi Yoshida, Tatsushi Shimokuni, Hideyasu Sakihama, Norihiko Takahashi, Hideki Kawamura, Emi Takakuwa, Akinobu Taketomi
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Oncocytic Renal Cell Carcinoma with Tubulopapillary Growth Having a Fat Component
Na Rae Kim, Hyun Yee Cho
J Pathol Transl Med. 2015;49(5):413-417.   Published online July 30, 2015
DOI: https://doi.org/10.4132/jptm.2015.07.01
  • 10,167 View
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AbstractAbstract PDF
We report a rare case of oncocytic renal cell carcinoma (RCC) with tubulopapillary growth in the background of tuberculous end-stage kidney disease. Histology of the renal mass consisted of oncocytic cells forming solid, thin tubules and rare papillae. The tumor had abundant eosinophilic oncocytic cells containing occasional cytoplasmic Mallory body–like hyaline globules and a tiny focus of clear cells with intervening mature fat. Both the oncocytic cells and clear cells were immunoreactive for a-methylacyl-CoA racemase, vimentin, pancytokeratin, and CD10, and negative for transcription factor E3, CD15, human melanoma black 45, and c-kit. Mallory body–like hyaline globules were positive for CAM 5.2 and periodic acid–Schiff with or without diastase. Ultrastructurally, the tumor cells had abundant cytoplasmic mitochondria. The present case is a rare case of oncocytic RCC with tubulopapillary growth pattern. The case is unique in that the tumor was mixed with fat component, which is not common in RCC and thus can lead to misdiagnosis.

Citations

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  • Oncocytic papillary renal cell carcinoma (OPRCC): 2 case report and literature review
    Yanchen Wang, Lihui Guan, Yaming Liu, Yuxuan Liu, Xiaoyan Guo, Yaofei Sun
    Frontiers in Oncology.2025;[Epub]     CrossRef
Comparison of Cytologic Characteristics between Adenoid Cystic Carcinoma and Adenoid Basal Carcinoma in the Uterine Cervix
Juhyeon Jeong, Seung Yeon Ha, Hyun Yee Cho, Dong Hae Chung, Jungsuk An
J Pathol Transl Med. 2015;49(5):396-402.   Published online August 17, 2015
DOI: https://doi.org/10.4132/jptm.2015.07.08
  • 9,547 View
  • 94 Download
  • 1 Web of Science
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AbstractAbstract PDF
Background
Adenoid cystic carcinoma (ACC) and adenoid basal carcinoma (ABC) are rare in the uterine cervix. ACC is more aggressive than ABC, thus accurate differential diagnosis is important. In this study, we identified cytologic features useful in distinguishing these two tumors for diagnosis. Methods: Three cases of ACC and five cases of ABC were selected for this study. Cervicovaginal smear slides were reviewed retrospectively, and the area, circumference, major axis, and minor axis of nuclei were measured using an image analyzer. Results: ACC displayed three-dimensional clusters with a small acini pattern. ABC displayed peripheral palisading without an acini pattern. The nuclei of ACC were more irregular and angulated than those of ABC, and the former showed a coarsely granular chromatin pattern. The nucleic area, circumference, major axis, and minor axis were 18.556±8.665 µm2, 23.320±11.412 µm, 5.664±1.537 µm, and 4.127±1.107 µm in ACC and 11.017±4.440 µm2, 15.920±5.664 µm, 4.612±1.025 µm, and 3.088±0.762 µm in the cases of ABC. All measured values showed statistically significant difference (p < .001). Conclusions: Although the nuclei of both of these tumor types were oval shaped, inferred from the ratio of minor axis to major axis (0.728 in ACC and 0.669 in ABC), the area of nuclei was approximately 1.7 times larger in ACC than in ABC. Distinguishing nucleic features, including area, morphology, and chromatin pattern, may be helpful in making a correct diagnosis.

Citations

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  • Adenoid basal carcinoma of the uterine cervix
    Anas Mohamed, Tesfalem Korga, Ahlam Ali, Javier Laurini
    International Journal of Gynecological Cancer.2025; : 101873.     CrossRef
  • Adenoid Basal Carcinoma of the Uterine Cervix: A Case Report
    Tatsuya Kanuma, Keiko Kigure, Tosio Nishimura, Yuji Ibuki, Shigeru Tsuchida, Harumi Kamiyama, Misa Iijima, Kazuto Nakamura
    The KITAKANTO Medical Journal.2016; 66(1): 11.     CrossRef
Article image
Utility of Transmission Electron Microscopy in Small Round Cell Tumors
Na Rae Kim, Seung Yeon Ha, Hyun Yee Cho
J Pathol Transl Med. 2015;49(2):93-101.   Published online March 12, 2015
DOI: https://doi.org/10.4132/jptm.2015.01.30
  • 15,703 View
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AbstractAbstract PDF
Small round cell tumors (SRCTs) are a heterogeneous group of neoplasms composed of small, primitive, and undifferentiated cells sharing similar histology under light microscopy. SRCTs include Ewing sarcoma/peripheral neuroectodermal tumor family tumors, neuroblastoma, desmoplastic SRCT, rhabdomyosarcoma, poorly differentiated round cell synovial sarcoma, mesenchymal chondrosarcoma, small cell osteosarcoma, small cell malignant peripheral nerve sheath tumor, and small cell schwannoma. Non-Hodgkin’s malignant lymphoma, myeloid sarcoma, malignant melanoma, and gastrointestinal stromal tumor may also present as SRCT. The current shift towards immunohistochemistry and cytogenetic molecular techniques for SRCT may be inappropriate because of antigenic overlapping or inconclusive molecular results due to the lack of differentiation of primitive cells and unavailable genetic service or limited moleculocytogenetic experience. Although usage has declined, electron microscopy (EM) remains very useful and shows salient features for the diagnosis of SRCTs. Although EM is not always required, it provides reliability and validity in the diagnosis of SRCT. Here, the ultrastructural characteristics of SRCTs are reviewed and we suggest that EM would be utilized as one of the reliable modalities for the diagnosis of undifferentiated and poorly differentiated SRCTs.

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Alveolar Rhabdomyosarcoma of the Lip in an Adult with Clear Cell Features
Jae Yeon Seok, Juhyeon Jeong, Young Woo Cheon, Hyun Yee Cho, Seung Yeon Ha, Dong Hae Chung
J Pathol Transl Med. 2015;49(1):81-84.   Published online January 15, 2015
DOI: https://doi.org/10.4132/jptm.2014.06.03
  • 12,471 View
  • 106 Download
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Cystic Brunner’s Gland Hamartoma in the Gastric Body: A Case Report
Dong Hae Chung, Na Rae Kim, Hyun Yee Cho, Yoon Jae Kim
Korean J Pathol. 2014;48(5):371-374.   Published online October 27, 2014
DOI: https://doi.org/10.4132/KoreanJPathol.2014.48.5.371
  • 9,268 View
  • 59 Download
  • 1 Crossref
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  • An Unusual Gastric Polyp: Brunneroma
    Jad Mhanna, Fadi F. Francis, Bassel Zein Sabatto, Ayman Tawil, Jana G. Hashash
    ACG Case Reports Journal.2021; 8(11): e00681.     CrossRef
Papillary Cystadenoma of the Fallopian Tube Not Associated with von Hippel-Lindau Disease: A Case Report
Jae Yeon Seok, Myunghee Kang, Jungsuk An, Hyunchul Kim, Kwang-Beom Lee, Hyun Yee Cho
Korean J Pathol. 2014;48(5):382-386.   Published online October 27, 2014
DOI: https://doi.org/10.4132/KoreanJPathol.2014.48.5.382
  • 7,588 View
  • 64 Download
  • 3 Crossref
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  • A Retrospective Study on the Occurrence and Prevalence of Ovarian Masses in the Patients of Rajkot District, Gujarat
    Kirtan M Vyas, Avni P Patel, Ashita K Vyas, Hardik Gohel
    Journal of the Scientific Society.2023; 50(3): 375.     CrossRef
  • Clear Cell Papillary Cystadenoma of the Ovary Masquerading as Metastatic Clear Cell Renal Cell Carcinoma: A Case Report and Review of the Literature
    Aarti E. Sharma, Farid Saei Hamedani, Julieta E. Barroeta, Peter Pytel, Jennifer A. Bennett, Ricardo R. Lastra
    International Journal of Gynecological Pathology.2021; 40(3): 290.     CrossRef
  • Mesonephric (Wolffian) Pseudoendometrioid Carcinoma of the Broad Ligament, Arising From a Papillary Cystadenoma
    Philippe Moerman, Frederic Amant, Ignace Vergote
    International Journal of Surgical Pathology.2016; 24(7): 635.     CrossRef
Bilateral Stafne Bone Cavity in the Anterior Mandible with Heterotopic Salivary Gland Tissue: A Case Report
Hyunchul Kim, Jae Yeon Seok, Sangho Lee, Jungsuk An, Na Rae Kim, Dong Hae Chung, Hyun Yee Cho, Seung Yeon Ha
Korean J Pathol. 2014;48(3):248-249.   Published online June 26, 2014
DOI: https://doi.org/10.4132/KoreanJPathol.2014.48.3.248
  • 13,520 View
  • 94 Download
  • 11 Crossref
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    Hak-Sun Kim
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    Hideki Hojo, Takanori Eguchi, Yumi Ito, Yoshiki Hamada
    Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology.2024;[Epub]     CrossRef
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    Mayank Pahadia, Rutvi Vyas
    Cureus.2023;[Epub]     CrossRef
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    Mahdi Niknami, Azin Parsa, Zahra Khodadadi
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    Alaettin Koç, Cennet Neslihan Eroğlu, Ersen Bilgili
    Oral Radiology.2020; 36(3): 254.     CrossRef
  • Stafne’s bone cyst revisited and renamed: the benign mandibular concavity
    Johan K.M. Aps, Natasha Koelmeyer, Cina Yaqub
    Dentomaxillofacial Radiology.2020; 49(4): 20190475.     CrossRef
  • Cone‐beam computed tomography analysis of lingual mandibular bone depression in the premolar region: A case report
    Saeed Asgary, Naghmeh Emadi
    Clinical Case Reports.2020; 8(3): 523.     CrossRef
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    Ariyan S Araghi, Richard M Graham
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    Liu Liu, Byung Cheol Kang, Suk Ja Yoon, Jae Seo Lee, Sel Ae Hwang
    Dentomaxillofacial Radiology.2018; 47(6): 20170383.     CrossRef
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    Ioan Davies, Holly Boyes, James Wykes, Graham Smith
    Dental Update.2018; 45(4): 340.     CrossRef
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    Ji-Young Song
    Journal of Dental Rehabilitation and Applied Science.2016; 32(3): 209.     CrossRef
Uncommon and Rare Human Papillomavirus Genotypes Relating to Cervical Carcinomas
Na Rae Kim, Myunghee Kang, Soon Pyo Lee, Hyunchul Kim, Jungsuk An, Dong Hae Chung, Seung Yeon Ha, Hyun Yee Cho
Korean J Pathol. 2014;48(1):43-49.   Published online February 25, 2014
DOI: https://doi.org/10.4132/KoreanJPathol.2014.48.1.43
  • 8,173 View
  • 53 Download
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AbstractAbstract PDF
Background

Human papillomavirus (HPV) is an oncogenic virus in cervical cancer and most invasive carcinomas (ICs) are caused by HPV16 and 18. However, the roles and contributions of other uncommon and rare genotypes remain uncertain.

Methods

HPV genotypes were retrospectively assessed using an HPV DNA chip that can specify up to 32 HPV genotypes. We arbitrarily regarded genotypes accounting for less than 6% of the total as uncommon and rare genotypes.

Results

A total of 3,164 HPV-positive cases were enrolled. In groups 2A, 2B, 3, and unclassified HPV genotypes, 2.4% of cases with uncommon HPV genotypes (68, 26, 34, 53, 66, 69, 70, 73, 40, 42, 43, 44, 54, 55, 61, 62, 6, and 11) showed high grade squamous intraepithelial lesions and ICs. There were no HPV32- and 57-infected cases.

Conclusions

We found that the uncommon and rare HPV genotypes may provide incremental etiologic contributions in cervical carcinogenesis, especially HPV68, 70, and 53. Further studies on these uncommon and rare HPV genotypes will be of importance in establishing the significance of genotypes in different regions, especially in planning a strategy for further vaccine development as well as follow-up on the effectiveness of the currently used vaccines.

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    Patricia S. Rantshabeng, Billy M. Tsima, Andrew K. Ndlovu, Keneilwe Motlhatlhedi, Kirthana Sharma, Carol B. Masole, Natasha O. Moraka, Kesego Motsumi, Angela K. T. Maoto-Mokote, Alemayehu B. Eshetu, Leabaneng Tawe, Tendani Gaolathe, Sikhulile Moyo, Lynnet
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    Saule Balmagambetova, Andrea Tinelli, Ospan A. Mynbaev, Arip Koyshybaev, Olzhas Urazayev, Nurgul Kereyeva, Elnara Ismagulova
    Current Pharmaceutical Design.2020; 26(18): 2073.     CrossRef
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    Hana Jaworek, Katerina Kubanova, Vladimira Koudelakova, Rastislav Slavkovsky, Jiri Drabek, Marian Hajduch, Craig Meyers
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    María Guadalupe Flores-Miramontes, Luis Alberto Torres-Reyes, Liliana Alvarado-Ruíz, Salvador Angel Romero-Martínez, Verenice Ramírez-Rodríguez, Luz María Adriana Balderas-Peña, Verónica Vallejo-Ruíz, Patricia Piña-Sánchez, Elva Irene Cortés-Gutiérrez, Lu
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    Adela Carrillo-García, Sergio Ponce-de-León-Rosales, David Cantú-de-León, Verónica Fragoso-Ontiveros, Imelda Martínez-Ramírez, Asunción Orozco-Colín, Alejandro Mohar, Marcela Lizano
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    Jin Hee Kang, Hwa young Ahn, Miri Kim, Shin Taek Oh, Baik Kee Cho, Hyun Jeong Park
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Crush Cytology of Microcystic Meningioma with Extensive Sclerosis
Jae Yeon Seok, Na Rae Kim, Hyun Yee Cho, Dong Hae Chung, Gi-Taek Yee, Eung Yeop Kim
Korean J Pathol. 2014;48(1):77-80.   Published online February 25, 2014
DOI: https://doi.org/10.4132/KoreanJPathol.2014.48.1.77
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  • 57 Download
  • 6 Crossref
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  • Cytologic features of meningioma: An analysis of common and uncommon subtypes and diagnostic difficulties during intraoperative procedures
    Ana M. Rodríguez‐García, Isabel Esteban‐Rodríguez, José A. Jiménez‐Heffernan, Carmen Bárcena, Samuel López‐Muñoz, Pilar López‐Ferrer
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    Rashmi Rana, Vaishnavi Rathi, Kirti Chauhan, Kriti Jain, Satnam Singh Chhabra, Rajesh Acharya, Samir Kumar Kalra, Anshul Gupta, Sunila Jain, Nirmal Kumar Ganguly, Dharmendra Kumar Yadav, Timir Tripathi
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    Na Rae Kim, Gie-Taek Yie
    Journal of Pathology and Translational Medicine.2020; 54(6): 508.     CrossRef
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    Hao Yu, Xinrui Wen, Pingping Wu, Yueqin Chen, Tianyu Zou, Xianlong Wang, Shanshan Jiang, Jinyuan Zhou, Zhibo Wen
    European Radiology.2019; 29(10): 5298.     CrossRef
  • Intraoperative Frozen Cytology of Central Nervous System Neoplasms: An Ancillary Tool for Frozen Diagnosis
    Myunghee Kang, Dong Hae Chung, Na Rae Kim, Hyun Yee Cho, Seung Yeon Ha, Sangho Lee, Jungsuk An, Jae Yeon Seok, Gie-Taek Yie, Chan Jong Yoo, Sang Gu Lee, Eun Young Kim, Woo Kyung Kim, Seong Son, Sun Jin Sym, Dong Bok Shin, Hee Young Hwang, Eung Yeop Kim, K
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    Na Rae Kim, Gie-Taek Yee, Hyun Yee Cho
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Adenocarcinoma Arising in a Colonic Duplication Cyst: A Case Report and Review of the Literature
Myunghee Kang, Jungsuk An, Dong Hae Chung, Hyun Yee Cho
Korean J Pathol. 2014;48(1):62-65.   Published online February 25, 2014
DOI: https://doi.org/10.4132/KoreanJPathol.2014.48.1.62
  • 6,822 View
  • 59 Download
  • 12 Crossref
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  • Low-grade mucinous neoplasm originating from intestinal duplication: a case report and review of the literature
    Huihui Yin, Jie Yu, Yunzhao Chen
    World Journal of Surgical Oncology.2025;[Epub]     CrossRef
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    Jeehye Lee, Jung Wook Suh
    World Journal of Gastrointestinal Surgery.2025;[Epub]     CrossRef
  • Low-Grade Mucinous Neoplasm Arising in an Enteric Duplication Cyst of Pancreas: A Case Report and Literature Review
    Mengjing Fan, Fang Yang
    International Journal of Surgical Pathology.2024; 32(2): 422.     CrossRef
  • Colonic duplication in an adult with chronic constipation: a case report and review of its surgical management
    Muhammad Ash-Shafhawi Adznan, Hizami Amin Tai, Aras Emre Canda, Nevra Elmas, Mustafa Cem Terzi
    Annals of Coloproctology.2024; 40(Suppl 1): S6.     CrossRef
  • Tubular adenoma arising in tubular colonic duplication: a case report
    Heonwoo Lee, Hyeong Rok An, Chan Wook Kim, Young Soo Park
    Journal of Pathology and Translational Medicine.2024; 58(4): 198.     CrossRef
  • Right-Sided Colonic Duplication Cyst with a Malignant Twist in a Young Adult — a Case Report
    Laxmi Radhakrishnan, Joseph George, Latha K. Abraham
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  • Endoscopic resection of a duodenal duplication cyst: A case report
    Sayumi Kurita, Kazuo Kitagawa, Naoki Toya, Masahiko Kawamura, Muneo Kawamura, Ken Eto
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  • Complete colonic duplication presenting as hip fistula in an adult with pelvic malformation: A case report
    Xuan Cai, Jing-Tao Bi, Zhi-Xue Zheng, Ya-Qi Liu
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  • Sigmoid colon duplication seen as a rare cause of ileus in adult: case report
    Barış BAYRAKTAR, Salih BOLUK, Sümeyra Emine BÖLÜK
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  • Successful management of tubular colonic duplication using a laparoscopic approach: A case report and review of the literature
    Gan-Bin Li, Jia-Gang Han, Zhen-Jun Wang, Zhi-Wei Zhai, Yu Tao
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  • Sigmoid colon duplication with ectopic immature renal tissue in an adult: A case report
    Hwan Namgung
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  • Retroperitoneal Mucinous Neoplasm Arising from Colonic Duplication Cyst
    María M. Rojas-Rojas, Marcela Mejiah, Martha Mora, Jorge Otero, Fernando Arias-Amézquita, Eduardo Londoño-Schimmer, Paula A. Rodríguez-Urrego
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Peritoneal and Nodal Gliomatosis with Endometriosis, Accompanied with Ovarian Immature Teratoma: A Case Study and Literature Review
Na Rae Kim, Soyi Lim, Juhyeon Jeong, Hyun Yee Cho
Korean J Pathol. 2013;47(6):587-591.   Published online December 24, 2013
DOI: https://doi.org/10.4132/KoreanJPathol.2013.47.6.587
  • 8,291 View
  • 76 Download
  • 8 Crossref
AbstractAbstract PDF

Gliomatosis peritonei (GP) indicates the peritoneal implantation of mature neuroglial tissue and is usually accompanied by ovarian mature or immature teratoma. Here, we report a case of ovarian immature teratoma associated with gliomatosis involving the peritoneum, lymph nodes and Douglas' pouch, where gliomatosis coexisted with endometriosis. As far as we know, only seven cases of GP have been reported as coexisting with endometriosis. Eight cases with mature glial tissue in the lymph nodes, i.e., nodal gliomatosis, have been published either in association with GP or in its absence. Metaplasia of pluripotent coelomic stem cells has been suggested to be responsible for the pathogenesis of endometriosis and GP rather than implantation metastases of ovarian teratomatous tumor with varying maturation. This theory is also applied to GP independently of ovarian teratomatous tumors. To the best of our knowledge, nodal gliomatosis coexisting with GP and also involving endometriosis has not yet been reported.

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  • Mimics of primary ovarian cancer and primary peritoneal carcinomatosis – A pictorial review
    B. Lawson, I. Rajendran, J. Smith, A. Shakur, V. Sadler, T.J. Sadler, H.C. Addley, S. Freeman
    Clinical Radiology.2024; 79(10): 736.     CrossRef
  • Ovarian Immature Teratoma With Nodal Gliomatosis: A Case Report and Literature Review
    Marwa Alna’irat, W. Glenn McCluggage, Maysa Al-Hussaini
    International Journal of Gynecological Pathology.2023; 42(6): 627.     CrossRef
  • Germ Cell Tumors of the Ovary: A Review
    Preetha Ramalingam
    Seminars in Diagnostic Pathology.2023; 40(1): 22.     CrossRef
  • Immature Teratoma with Gliomatosis Peritonei Arising in a Young Girl: Report of a Rare Case and Review of Literature
    Isheeta Ahuja, Ruchi Rathore, Neerja Bhatla, Sandeep R. Mathur
    Indian Journal of Gynecologic Oncology.2023;[Epub]     CrossRef
  • Growing Teratoma Syndrome with Synchronous Gliomatosis Peritonei during Chemotherapy in Ovarian Immature Teratoma: A Case Report and Literature Review
    Sijian Li, Na Su, Congwei Jia, Xinyue Zhang, Min Yin, Jiaxin Yang
    Current Oncology.2022; 29(9): 6364.     CrossRef
  • Extratesticular gliomatosis peritonei after mesenteric teratoma: a case report and literature review
    Jiaqiang Li, Shoulin Li, Dong Xiao, Jiaming Song, Jianxiong Mao, Jianchun Yin
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    Elizabeth D. Euscher
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    Dan Wang, Cong-wei Jia, Rui-e Feng, Hong-hui Shi, Juan Sun
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Cotyledonoid Dissecting Leiomyoma of the Uterus with Intravascular Luminal Growth: A Case Study
Na Rae Kim, Chan Yong Park, Hyun Yee Cho
Korean J Pathol. 2013;47(5):477-480.   Published online October 25, 2013
DOI: https://doi.org/10.4132/KoreanJPathol.2013.47.5.477
  • 11,748 View
  • 78 Download
  • 7 Crossref
AbstractAbstract PDF

Here, we report the case of a 43-year-old female who was diagnosed with a cotyledonoid dissecting leiomyoma (CDL) of the uterus. CDL is a recently described and extremely rare variant of a benign leiomyoma that can grossly masquerade as a malignancy. The 13-cm sized tumor was located primarily on the extrauterine surface as an intrauterine continuity, which showed dark red, congested, bulbous protuberances. It was multinodular appearance, encasing the bilateral adnexae and the left iliac vein. Microscopically, the nodules were separated by extensive hydropic degeneration. The nodules were composed of cigar-shaped spindle cells with no mitosis, cellular pleomorphism or coagulation necrosis. They also showed an intravascular luminal growth pattern. CDL with intravascular growth was diagnosed after excluding intravascular leiomyomatosis, disseminated peritoneal leiomyomatosis, and benign metastasizing leiomyoma. The present case is the second reported case of CDL in Korea. Recognition of this rare and bizarre, malignancy-mimicking leiomyoma is crucial to prevent inappropriate treatment.

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  • A Case of Cotyledonoid-Dissecting Leiomyoma - The Utility of Laparoscopic Biopsy and Gonadotropin-Releasing Hormone Analogs
    Sayaka Kawashita, Akiko Nonoshita, Keisuke Iwasaki, Daisuke Nakayama
    Clinical Pathology.2024;[Epub]     CrossRef
  • Cotyledonoid dissecting leiomyoma with peritoneal dissemination
    Hiroki Egashira, Hiroaki Ishida, Nobuyuki Hiruta, Akiko Takashima
    BMJ Case Reports.2024; 17(9): e261937.     CrossRef
  • Cotyledonoid dissecting leiomyoma of the uterus: a case report and review of the literature
    Mahboobeh Chahkandi, Marzieh Ataei, Amir Reza Bina, Farnaz Mozayani, Ali Fanoodi
    Journal of Medical Case Reports.2023;[Epub]     CrossRef
  • Cotyledonoid Leiomyoma Clinical Characteristics, Imaging Features, and Review of the Literature
    Francesca Buonomo, Sofia Bussolaro, Giorgio Giorda, Federico Romano, Stefania Biffi, Giuseppe Ricci
    Journal of Ultrasound in Medicine.2021; 40(7): 1459.     CrossRef
  • The Management of the Cotyledonoid Leiomyoma of the Uterus: A Narrative Review of the Literature
    Francesca Buonomo, Sofia Bussolaro, Clarice de Almeida Fiorillo, Giorgio Giorda, Federico Romano, Stefania Biffi, Giuseppe Ricci
    International Journal of Environmental Research and Public Health.2021; 18(16): 8521.     CrossRef
  • Cotyledonoid dissecting leiomyoma of the uterus: A report of four cases and a review of the literature
    TIANMIN XU, SHUYING WU, RULIN YANG, LIPING ZHAO, MINGXING SUI, MANHUA CUI, WEIQIN CHANG
    Oncology Letters.2016; 11(4): 2865.     CrossRef
  • COTYLEDONOID DISSECTING LEIOMYOMA (CDL) OF UTERUS MIMICKING MALIGNANCY: A CLINICAL DILEMMA
    Roma Isaacs, Rupinder Kaur, Sunita Goyal
    Journal of Evolution of Medical and Dental Sciences.2016; 5(57): 3973.     CrossRef
Fine Needle Aspiration Cytology of Postoperative Spindle Cell Nodule in Neck after Thyroidectomy: A Case Report
Myunghee Kang, Seung Yeon Ha, Hyun Yee Cho, Jungsuk An, Dong Hae Chung, Yoo Seung Chung
Korean J Pathol. 2013;47(1):89-91.   Published online February 25, 2013
DOI: https://doi.org/10.4132/KoreanJPathol.2013.47.1.89
  • 7,697 View
  • 44 Download
  • 3 Crossref
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  • Post-surgical thyroid bed myofibroma simulating a recurrent papillary thyroid carcinoma: A case report and review of the literature
    Jun Hyeon Park, Kyung Sik Yi, Chi-Hoon Choi, Yook Kim, Jisun Lee, Yeongtae Park, Ok-Jun Lee
    Medicine.2024; 103(2): e36945.     CrossRef
  • USP6‐associated neoplasm as a tentative subset of postoperative spindle cell nodule
    Lili Sun, Zehua Zhao, Yanmei Zhu
    Histopathology.2023; 82(4): 587.     CrossRef
  • Diagnostic Performance of Core Needle Biopsy for Characterizing Thyroidectomy Bed Lesions
    So Yeong Jeong, Jung Hwan Baek, Sae Rom Chung, Young Jun Choi, Dong Eun Song, Ki-Wook Chung, Won Woong Kim, Jeong Hyun Lee
    Korean Journal of Radiology.2022; 23(10): 1019.     CrossRef
Multiple Jejunal Myeloid Sarcomas Presenting with Intestinal Obstruction in a Non-leukemic Patient: A Case Report with Ultrastructural Observations
Na Rae Kim, Woon Kee Lee, Jong In Lee, Hyun Yee Cho
Korean J Pathol. 2012;46(6):590-594.   Published online December 26, 2012
DOI: https://doi.org/10.4132/KoreanJPathol.2012.46.6.590
  • 7,776 View
  • 71 Download
  • 4 Crossref
AbstractAbstract PDF

Myeloid sarcoma is a rare extramedullary myeloid tumor, which is frequently misdiagnosed when no evidence of leukemia is initially observed. Here, we report on a peculiar case of a 49-year-old man afflicted with multiple masses in the jejunum, the superior mesentery, and the serosa of the transverse colon, without leukemic manifestation. The tumor was composed of undifferentiated small round cells containing eosinophilic cytoplasm, which were negative for myeloperoxidase, nonspecific esterase, lysozyme, terminal deoxynucleotidyl transferase, leukocyte common antigen, CD3, CD4, CD15, CD20, CD30, CD43, CD56, CD68/PG-M1, CD79a, human melanoma black-45, c-kit, and CD34 with positivity only for CD68/KP1, CD99, and vimentin. Under electron microscopy, those cells had abundant membrane-bound cytoplasmic granules that measured 200 to 300 nm in diameter, which were consistent with granulocytic azurophilic granules. The tumor was finally diagnosed as a myeloid sarcoma. The presence of non-leukemic myeloid sarcomas showing immunonegativity for conventional myeloid-leukemic markers necessitated a diagnosis by ultrastructural observation.

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