Pulmonary metastasis of stage I, low-grade endometrioid carcinoma: two case reports and the literature review
Endometrial cancer (EC) is the most common malignant tumor of the female reproductive system, and the majority of ECs are low histological grade and confined to the uterus, resulting in a good prognosis. However, metastasis to the lung from a low-grade and early-stage endometrial endometrioid carcin...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-10-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1266485/full |
| _version_ | 1827794671793864704 |
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| author | Li Wang Li Wang Yingxue Li Lin Han |
| author_facet | Li Wang Li Wang Yingxue Li Lin Han |
| author_sort | Li Wang |
| collection | DOAJ |
| description | Endometrial cancer (EC) is the most common malignant tumor of the female reproductive system, and the majority of ECs are low histological grade and confined to the uterus, resulting in a good prognosis. However, metastasis to the lung from a low-grade and early-stage endometrial endometrioid carcinoma (EEC) is extremely rare. Therefore, it is crucial to accurately differentiate between primary pulmonary malignancy and extra-thoracic malignancy presenting as metastatic disease, and flexible bronchoscopy with tissue acquisition plays a key role in this process. Despite its importance, there is limited literature available on the cytology of metastatic endometrial carcinoma in liquid-based cytology of bronchial brush (BB). In this article, we present two rare cases of lung metastasis from low-grade and early-stage EEC, along with a detailed analysis of the cytologic features observed in BB samples. These cases highlight the significance of cytological and histological pathology, complemented by immunohistochemistry (ICH) analysis, in the diagnosis and management of EEC patients. Pathologists should pay close attention to these aspects, while gynecologists need to be mindful of the follow-up and management of early-stage, low-grade EEC patients. By focusing on these areas, healthcare professionals can effectively contribute to the improved care and outcomes of patients with EEC. |
| first_indexed | 2024-03-11T18:38:11Z |
| format | Article |
| id | doaj.art-c3f1ab6b84d94332bcf0493acb4f4915 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-03-11T18:38:11Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-c3f1ab6b84d94332bcf0493acb4f49152023-10-12T15:49:23ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-10-011310.3389/fonc.2023.12664851266485Pulmonary metastasis of stage I, low-grade endometrioid carcinoma: two case reports and the literature reviewLi Wang0Li Wang1Yingxue Li2Lin Han3Department of Gynecology & Obstetrics, Liaocheng People's Hospital, School of Medicine, Liaocheng University, Liaocheng, ChinaBiomedical Laboratory, School of Medicine, Liaocheng University, Liaocheng, ChinaDepartment of Pathology, Liaocheng People's Hospital, Liaocheng, ChinaDepartment of Pathology, Liaocheng People's Hospital, Liaocheng, ChinaEndometrial cancer (EC) is the most common malignant tumor of the female reproductive system, and the majority of ECs are low histological grade and confined to the uterus, resulting in a good prognosis. However, metastasis to the lung from a low-grade and early-stage endometrial endometrioid carcinoma (EEC) is extremely rare. Therefore, it is crucial to accurately differentiate between primary pulmonary malignancy and extra-thoracic malignancy presenting as metastatic disease, and flexible bronchoscopy with tissue acquisition plays a key role in this process. Despite its importance, there is limited literature available on the cytology of metastatic endometrial carcinoma in liquid-based cytology of bronchial brush (BB). In this article, we present two rare cases of lung metastasis from low-grade and early-stage EEC, along with a detailed analysis of the cytologic features observed in BB samples. These cases highlight the significance of cytological and histological pathology, complemented by immunohistochemistry (ICH) analysis, in the diagnosis and management of EEC patients. Pathologists should pay close attention to these aspects, while gynecologists need to be mindful of the follow-up and management of early-stage, low-grade EEC patients. By focusing on these areas, healthcare professionals can effectively contribute to the improved care and outcomes of patients with EEC.https://www.frontiersin.org/articles/10.3389/fonc.2023.1266485/fullpulmonary metastasisendometrioid carcinomaearly-stagelow-gradebronchoscope brush liquid-based cytology |
| spellingShingle | Li Wang Li Wang Yingxue Li Lin Han Pulmonary metastasis of stage I, low-grade endometrioid carcinoma: two case reports and the literature review Frontiers in Oncology pulmonary metastasis endometrioid carcinoma early-stage low-grade bronchoscope brush liquid-based cytology |
| title | Pulmonary metastasis of stage I, low-grade endometrioid carcinoma: two case reports and the literature review |
| title_full | Pulmonary metastasis of stage I, low-grade endometrioid carcinoma: two case reports and the literature review |
| title_fullStr | Pulmonary metastasis of stage I, low-grade endometrioid carcinoma: two case reports and the literature review |
| title_full_unstemmed | Pulmonary metastasis of stage I, low-grade endometrioid carcinoma: two case reports and the literature review |
| title_short | Pulmonary metastasis of stage I, low-grade endometrioid carcinoma: two case reports and the literature review |
| title_sort | pulmonary metastasis of stage i low grade endometrioid carcinoma two case reports and the literature review |
| topic | pulmonary metastasis endometrioid carcinoma early-stage low-grade bronchoscope brush liquid-based cytology |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1266485/full |
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