Gynaecological or gastrointestinal origin? Recognising Müllerian neoplasms with gastrointestinal phenotype and determining the primary site in selected entities

Recognising metastatic gastrointestinal and pancreatobiliary tumours to gynaecological sites may be challenging, as primary Müllerian tumours can demonstrate similar histological features. Endocervical adenocarcinomas can be of gastric and intestinal types, endometrial lesions may show gastrointesti...

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Bibliographic Details
Published in:Pathology 2022-03, Vol.54 (2), p.207-216
Main Authors: Ronquillo, Nemencio, Pinto, Andre
Format: Article
Language:English
Subjects:
Adenocarcinoma - diagnosis
Adenocarcinoma - pathology
Adenocarcinoma - secondary
appendix
cervix
Diagnosis, Differential
endometrium
Female
gastric
Gastrointestinal Neoplasms - pathology
Genital Neoplasms, Female - diagnosis
Genital Neoplasms, Female - pathology
Genital Neoplasms, Female - secondary
human papilloma virus (HPV)
Humans
intestinal
Mucinous adenocarcinoma
ovary
pancreatobiliary
Phenotype
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Description
Summary:Recognising metastatic gastrointestinal and pancreatobiliary tumours to gynaecological sites may be challenging, as primary Müllerian tumours can demonstrate similar histological features. Endocervical adenocarcinomas can be of gastric and intestinal types, endometrial lesions may show gastrointestinal phenotype, and finally, mucinous tumours with secondary involvement of the ovaries may mimic primary neoplasms. The aim of this review is to address selected neoplastic entities of the gynaecological tract with gastric and intestinal differentiation and provide helpful clinical and pathological parameters for the diagnosis. A brief overview of metastatic tumours originating from the gastrointestinal and pancreaticobiliary tracts is also provided, including the most common pathological features.
ISSN:0031-3025
1465-3931
DOI:10.1016/j.pathol.2021.09.004