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Pure large cell neuroendocrine carcinoma originating from the endometrium: A case report

作     者:Ran Du Feng Jiang Zheng-Yan Wang Yan-Qing Kang Xiu-Yu Wang Ying Du 

作者机构:Department of PathologyLiaocheng People’s HospitalLiaocheng 252000Shandong ProvinceChina Department of Thoracic SurgeryLiaocheng Tumor HospitalLiaocheng 252000Shandong ProvinceChina Department of RadiologyLiaocheng People’s HospitalLiaocheng 252000Shandong ProvinceChina 

出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期:2021年第9卷第14期

页      面:3449-3457页

核心收录:

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Neuroendocrine carcinoma Large cell Large cell neuroendocrine carcinoma Endometrial Therapy Prognosis Case report 

摘      要:BACKGROUND Large cell neuroendocrine carcinoma(LCNEC)of the endometrium is an uncommon and highly aggressive tumor that has not been comprehensively *** report a case of pure endometrial LCNEC and review the current literature of similar cases to raise awareness of the histological features,treatment,and prognosis of this *** SUMMARY We report the case of a 73-year-old woman who presented with irregular postmenopausal vaginal *** showed an enlarged uterus and a 5.1 cm×3.3 cm area of medium and low echogenicity in the uterine *** by dilatation and curettage suggested poorly differentiated *** resonance imaging revealed a heterogeneously enhanced uterine tumor with diffuse infiltration of the posterior wall of the uterine myometrium and enlarged pelvic lymph *** patient underwent a hysterectomy and bilateral adnexal *** observation revealed an ill-defined white solid mass of the posterior wall of the uterus infiltrating into the serosa with multiple solid nodules on the serous ***,the tumor cells showed neuroendocrine morphology(organoid nesting).Immunohistochemistry revealed the tumor cells were diffusely positive for the neuroendocrine markers CD56,chromogranin A,and ***,the tumor was diagnosed as stage IIIC endometrial *** Pathologic findings and immunohistochemistry are essential in making a diagnosis of endometrial LCNEC.

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