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Case Study
Alveolar Soft Part Sarcoma of the Uterine Cervix: A Case Report and Review of the Literature
Hyun Ju Lee
Korean J Pathol. 2014;48(5):361-365.   Published online October 27, 2014
DOI: https://doi.org/10.4132/KoreanJPathol.2014.48.5.361
  • 8,945 View
  • 64 Download
  • 11 Crossref
AbstractAbstract PDF
Alveolar soft part sarcoma (ASPS) of the uterine cervix is a rare malignancy, and 21 cases have been reported the literature from every language (including our case). Herein, we describe a 17-yearold female patient who presented with active vaginal bleeding. Pelvic examination revealed a 1.6 ×1.0×0.5-cm-sized soft mass protruding from the uterine cervix. The final pathological diagnosis was ASPS of the uterine cervix. Immunohistochemically, tumor cells were strongly nuclear positive for transcription factor E3. The patient remained disease free for 24 months without adjuvant therapy. The prognosis of ASPS in the cervix is considerably better than that of ASPS in soft tissues due to early clinical detection, small size, and resectability. ASPS should be considered in the differential diagnosis of an unusual epithelioid neoplasm showing organoid appearance with mild cytologic atypia and no/rare mitotic figures, particularly in young women. Pathologists should be aware of those unusual locations where ASPS may originate.

Citations

Citations to this article as recorded by  
  • A rare case of Alveolar Soft-Part Sarcoma in the Uterine cervix
    Mei Du, Yanli Li, Xiaorong Fan, Han Gao, Jie Shi, Shiyu Cheng, Tingzhu Meng
    Diagnostic Pathology.2025;[Epub]     CrossRef
  • Primary Uterine Alveolar Soft Part Sarcoma in a Postmenopausal Woman: Histopathologic and Immunohistochemical Characteristics of a Rare Case
    Anjali Gupta, Parikshaa Gupta, Amarjot Kaur, Snigdha Kumari, Gupta Nalini, Shalini Gainder
    International Journal of Surgical Pathology.2024; 32(6): 1165.     CrossRef
  • Alveolar Soft Part Sarcoma in the Female Genital Tract: Case Series with Literature Review and SEER Database Analysis
    Xingtao Long, Qingming Jiang, Rengui Li, Dong Wang, Dongling Zou
    International Journal of Women's Health.2024; Volume 16: 17.     CrossRef
  • Alveolar soft part sarcoma: a clinicopathological and immunohistochemical analysis of 26 cases emphasizing risk factors and prognosis
    Yi Zhang, Yuchen Huang, Yanzi Qin, Ningning Yang, Panpan Yang, Nan Li, Zhenzhong Feng
    Diagnostic Pathology.2024;[Epub]     CrossRef
  • Epithelioid and clear‐cell variant of Kaposi sarcoma: A rare histopathologic subtype
    Kaitlyn M. Yim, Tom Liang, Esteban Gnass, Brittney DeClerck
    Journal of Cutaneous Pathology.2022; 49(4): 381.     CrossRef
  • A Case of TFE3-positive Non-neoplastic Pseudodecidualized Endometrium Presenting as a Cervical Mass
    Serenella Serinelli, Dana Hariri, Gustavo de la Roza, Daniel J. Zaccarini
    Applied Immunohistochemistry & Molecular Morphology.2022; 30(6): e50.     CrossRef
  • Alveolar Soft Part Sarcoma of the Uterus: Clinicopathological and Molecular Characteristics
    Yurimi Lee, Kiyong Na, Ha Young Woo, Hyun-Soo Kim
    Diagnostics.2022; 12(5): 1102.     CrossRef
  • Alveolar soft part sarcoma in childhood and adolescence: Report of three cases and review of literature
    Yudi Zhang, Ying Wang, Hao Wang, Chuan Wen, Xiaochuan Wu
    Frontiers in Pediatrics.2022;[Epub]     CrossRef
  • Exploring the Histogenesis and Diagnostic Strategy Using Immunoassay and RT-PCR in Alveolar Soft Part Sarcoma
    Xinxin Ju, Kunming Sun, Ruixue Liu, Shugang Li, Gulinaer Abulajiang, Hong Zou, Jiaojiao Lan, Yan Ren, Jinfang Jiang, Weihua Liang, Lijuan Pang, Feng Li
    Pathology & Oncology Research.2018; 24(3): 593.     CrossRef
  • Alveolar Soft Part Sarcoma of the Female Genital Tract
    J. Kenneth Schoolmeester, Joseph Carlson, Gary L. Keeney, Karen J. Fritchie, Esther Oliva, Robert H. Young, Marisa R. Nucci
    American Journal of Surgical Pathology.2017; 41(5): 622.     CrossRef
  • Recurrent alveolar soft part sarcoma of the uterine cervix
    Aeli Ryu, Seong Taek Mun, Hyun Ju Lee, Nan-Seol Kim
    Journal of Obstetrics and Gynaecology.2017; 37(8): 1099.     CrossRef
Original Article
Cytologic Study of Thymoma.
Gu Kong, Se Jin Jang, Jung Dal Lee
Korean J Cytopathol. 1990;1(1):36-42.
  • 1,791 View
  • 16 Download
AbstractAbstract PDF
The fluoroscopy-guided fine needle aspiration biopsy has been gaining widespread acceptance as a rapid and effective method to make a pre-operative diagnosis of mediastinal tumors including thymoma, malignant lymphoma, and metastatic carcinoma. Although thymoma is a most common tumor of the superior mediastinum, most cytopathologists are not experted in cytologic diagnosis of this tumor because of limited experience. In order to define the diagnostic cytologic features of thymoma, we have retrospectively reviewed imprinting smears and corresponding tissue sections from four cases of this tumor. All cases revealed an apparent biphasic pattern of epithelial cell clusters and lymphocytes with occasional branching capillary fronds extending from three dimensional epithelial cell clusters. Epithelial cell clusters predominated in one case and lymphocytes in two cases. Mixed epithelial cell and lymphocyte type represented in one of four cases. In the lymphocyte predominant type, the presence of epithelial cell clusters and small mature lymphocytes are helpful features to differentiate from a malignent lymphoma.

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