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Endometrial adenosquamous carcinoma with osteoclast-like giant cells: immunohistochemistry and histogenesis: Case report

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Abstract:

Imura J, Tomita S, Ono Y, Inaba F, Yamazaki T, Fukasawa I, Inaba N, Fujimori T. Endometrial adenosquamous carcinoma with osteoclast-like giant cells: immunohistochemistry and histogenesis. APMIS 2005;113:140–4.

Primary extraskeletal epithelial neoplasms containing osteoclast-like giant cells (OGCs) are rare. We herein describe a case of adenosquamous carcinoma that developed in the endometrium together with non-neoplastic OGCs. The patient was a 72-year-old woman who underwent radical hysterectomy with salpingo-oophorectomy and lymph node dissection after being diagnosed with uterine cancer. Histologically, the tumor was found to be an adenosquamous carcinoma containing a large number of OGCs and mononuclear cells (MNCs) that had infiltrated into the stroma. Immunohistochemically, the OGCs and MNCs stained strongly positive for KP-1 and alpha-1-antichymotrypsin, and negative for the epithelial markers epithelial membrane antigen (EMA) and cytokeratins. These findings suggest that the OGCs and MNCs in this patient's tumor originated from monocytes/histiocytes, and most likely developed as part of the stromal reaction to the neoplasm.

Keywords: Osteoclast-like giant cell; adenosquamous carcinoma; endometrium; immunohistochemistry

Document Type: Research Article

DOI: https://doi.org/10.1111/j.1600-0463.2005.apm1130208.x

Affiliations: 1: Surgical and Molecular Pathology and 2: Gynecology and Obstetrics, Dokkyo University School of Medicine, Tochigi, Japan

Publication date: 2005-02-01

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