2005
DOI: 10.1111/j.1525-1438.2005.00113.x
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The pathology and management of endocervical glandular neoplasia

Abstract: The incidence of cervical glandular intraepithelial neoplasia and adenocarcinoma is rising, and our limited knowledge about these lesions presents the gynecologist with a management dilemma. Recently, pathologists have paid increasing attention to the diagnosis and pathogenesis of adenocarcinoma of the cervix. Although there is no uniformity in the management of these lesions, nonradical surgery appears to give satisfactory results especially in young women who want to preserve their fertility. This review foc… Show more

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Cited by 14 publications
(8 citation statements)
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“…While the sequence of events leading to malignant transformation of receptive primary cells following infection by oncogenic viruses has been studied in great detail (22) , very little is known about the effect of nononcogenic viral infection on transformed cells. To gain insight to the biology of nononcogenic virus-transformed cell system interactions, we activated the stress responsive mechanisms of immortal adenocarcinoma cells (HeLa) using infection with influenza B virus and compared the resulting morphologic, phenotypic, and divisional properties of surviving infected hosts to those of their uninfected precursors and normal primary endocervical adenoepithelial and metaplastic cells.…”
Section: Discussionmentioning
confidence: 99%
“…While the sequence of events leading to malignant transformation of receptive primary cells following infection by oncogenic viruses has been studied in great detail (22) , very little is known about the effect of nononcogenic viral infection on transformed cells. To gain insight to the biology of nononcogenic virus-transformed cell system interactions, we activated the stress responsive mechanisms of immortal adenocarcinoma cells (HeLa) using infection with influenza B virus and compared the resulting morphologic, phenotypic, and divisional properties of surviving infected hosts to those of their uninfected precursors and normal primary endocervical adenoepithelial and metaplastic cells.…”
Section: Discussionmentioning
confidence: 99%
“…A rise in the proportion of patients with adenocarcinoma of the cervix [29] has been described. Use of estrogen therapy was associated with a RR of 2.7 (95% CI 1.1-6.8) for adenocarcinoma [30] but there is currently no study on recurrence risk in survivors of adenocarcinoma of the cervix.…”
Section: Cervical Cancermentioning
confidence: 98%
“…Microscopically, the evolution of the lesion is characterized by the differentiation of epithelial cells that proliferate and invade the epithelial tissue. Progression is described in terms of increase in the degree of dysplasia (mild, moderate, severe) and carcinoma in situ (El-Ghobashy et al, 2005). Early lesions are now considered manifestations of HPV infection, which are characterized by the presence of nuclear changes and cell proliferation of the epithelium.…”
Section: Introductionmentioning
confidence: 99%