Tag Michelle S. Hirsch MD PhD

Mesonephric Carcinoma

D efinition — A carcinoma derived from mesonephric remnants located in the lateral walls of the uterine cervix. Clinical Features Epidemiology Very rare. The mean age at presentation is early 50s. You’re Reading a Preview Become a Clinical Tree membership…

Mesonephric Remnants

D efinition — Embryologic remnants of mesonephric differentiation found in the gynecologic tract. Clinical Features Epidemiology Mesonephric remnants may be identified in up to one fifth of well-sampled cervices. No age or demographic predilection has been identified. You’re Reading a…

Adenoid Basal Carcinoma

D efinition — Adenocarcinoma composed of basaloid cells with areas of columnar cell differentiation. Clinical Features Epidemiology Rare; accounts for less than 5% of cervical carcinomas. Usually seen in postmenopausal women. Human papillomavirus (HPV) associated. African-American women are affected more…

Atypical Lobular Endocervical Glandular Hyperplasia and Invasive (Minimal Deviation) Adenocarcinoma of the Cervix with Gastric Differentiation

D efinition — A deceptively bland-appearing mucinous adenocarcinoma of the cervix. Atypical lobular endocervical glandular hyperplasia (ALGH) is considered a potential precursor to minimal deviation adenocarcinoma (MDA). Clinical Features Epidemiology Uncommon. Not associated with human papillomavirus (HPV). Reproductive-age women; mean…

Clear-Cell Carcinoma of the Cervix

D efinition —A unique, typically HPV-negative adenocarcinoma that has been associated with prenatal diethylstilbestrol exposure. Clinical Features Epidemiology Rare. Historically linked to diethylstilbestrol (DES) exposure in utero. Sporadic occurrences now much more frequent than DES-related cases. Wide age range, with…