2015Indian Obstetrics and GynaecologyOpen access

Clear Cell Adenocarcinoma Cervix in a 19 Year Old Unmarried Girl - A Rare Case Report

J R Reshmy, Bharati Misra, Smiti Nanda, N P Abhilash

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Abstract

Abstract Adenocarcinoma of the cervix is a rare condition that has shown an increase in incidence. Adenocarcinoma represents about 10-15% of malignant cervical tumours. and among these, the clear cell type accounts for 3%. This type of tumour affects mainly postmenopausal women but also occurs in young women with a history of prenatal exposure to diethylstilbestrol (DES). The prognosis for adenocarcinoma of the cervix is poor overall. This article discusses a case of clear cell adenocarcinoma of the cervix, unrelated to intrauterine exposure to DES, in a 19 year old unmarried girl with no history of sexual contact and who was treated with Type II modified radical hysterectomy with bilateral pelvic lymph node dissection followed by postoperative chemoradiation. Keywords: Clear cell adenocarcinoma cervix, Diethylstilbestrol (DES), Modified radical hysterectomy

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Abstract Adenocarcinoma of the cervix is a rare condition that has shown an increase in incidence. Adenocarcinoma represents about 10-15% of malignant cervical tumours. and among these, the clear cell type accounts for 3%. This type of tumour affects mainly postmenopausal women but also occurs in young women with a history of prenatal exposure to diethylstilbestrol (DES). The prognosis for adenocarcinoma of the cervix is poor overall. This article discusses a case of clear cell adenocarcinoma of the cervix, unrelated to intrauterine exposure to DES, in a 19 year old unmarried girl with no history of sexual contact and who was treated with Type II modified radical hysterectomy with bilateral pelvic lymph node dissection followed by postoperative chemoradiation. Keywords: Clear cell adenocarcinoma cervix, Diethylstilbestrol (DES), Modified radical hysterectomy

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Available abstract

Abstract Adenocarcinoma of the cervix is a rare condition that has shown an increase in incidence. Adenocarcinoma represents about 10-15% of malignant cervical tumours. and among these, the clear cell type accounts for 3%. This type of tumour affects mainly postmenopausal women but also occurs in young women with a history of prenatal exposure to diethylstilbestrol (DES). The prognosis for adenocarcinoma of the cervix is poor overall. This article discusses a case of clear cell adenocarcinoma of the cervix, unrelated to intrauterine exposure to DES, in a 19 year old unmarried girl with no history of sexual contact and who was treated with Type II modified radical hysterectomy with bilateral pelvic lymph node dissection followed by postoperative chemoradiation. Keywords: Clear cell adenocarcinoma cervix, Diethylstilbestrol (DES), Modified radical hysterectomy

Key concepts: Cervix, Medicine, Clear-cell adenocarcinoma, Diethylstilbestrol, Adenocarcinoma, Lymph node, Gynecology, Incidence (geometry)

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