Ascitic fluid cytology of adenosarcoma of the ovary: A case report

Extrauterine adenosarcoma is very rare and originates in the ovary, adnexa, or myometrium. Cytologic study of ascites is very important to determine clinical staging of malignant ovarian tumors and provide adequate therapy for recurrence. The cytomorphologic features of adenosarcoma have been only r...

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Bibliographic Details
Published in:Diagnostic cytopathology 2001-05, Vol.24 (5), p.343-346
Main Authors: Hirakawa, Eiichiro, Kobayashi, Shoji, Miki, Hiroshi, Haba, Reiji, Saoo, Kousuke, Yamakawa, Keiko, Ohkura, Isoharu, Kira, Yoshimichi
Format: Article
Language:English
Subjects:
adenosarcoma
Adenosarcoma - diagnosis
Adenosarcoma - pathology
Aged
ascitic fluid
Ascitic Fluid - diagnosis
Ascitic Fluid - pathology
Biological and medical sciences
cytology
Diagnosis, Differential
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Ovarian Neoplasms - diagnosis
Ovarian Neoplasms - pathology
ovary
Tumors
Vaginal Smears
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Summary:Extrauterine adenosarcoma is very rare and originates in the ovary, adnexa, or myometrium. Cytologic study of ascites is very important to determine clinical staging of malignant ovarian tumors and provide adequate therapy for recurrence. The cytomorphologic features of adenosarcoma have been only rarely described. A 77‐yr‐old woman visited a hospital with a complaint of lower abdominal pain for 1 mo. A tumor originating from the right adnexa in the pelvis, and involving the rectum, was found in surgery. In the ascitic fluid cytology, a few dispersed tumor cells with large cytoplasm and nuclei were oval‐shaped, with nuclear invagination. The chromatin was finely granular; one or two nucleoli were conspicuous. To our knowledge, this is the fifteenth reported case of adenosarcoma of the ovary, and there have been no prior reports describing the cytological features of ascitic fluid cells in adenosarcoma of the ovary. Diagn. Cytopathol. 24:343–346, 2001. © 2001 Wiley‐Liss, Inc.
ISSN:8755-1039
1097-0339
DOI:10.1002/dc.1074