Papillary squamous cell carcinoma of the cervix: Two cases and a review of the literature

Lauren B. Turker, Gregory M. Gressel, Maria Abadi, Marina Frimer

Research output: Contribution to journalArticle

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Abstract

Objective Papillary squamous cell carcinoma of the cervix (PSCC) is a rare and distinct form of cervical carcinoma. Detecting stromal invasion on biopsy is difficult due to the papillary growth of the tumor. Here we present two cases that highlight the diagnostic and clinical challenges of PSCC. Case 1 A 50-year-old woman found to have carcinoma on a routine pap-smear. The patient was diagnosed with PSCC on colposcopic biopsy and underwent a radical hysterectomy, bilateral salpingo-oophorectomy and pelvic lymph node dissection. Her final pathology demonstrated PSCC with no evidence of stromal invasion. At her 3-month follow up visit, she was noted to have a tumor recurrence at the vaginal cuff, again with no stromal invasion. She is currently undergoing definitive radiation therapy with sensitizing cisplatin. Case 2 An 82-year-old woman presented with post-menopausal bleeding and was found to have an exophytic mass. Biopsies were taken and showed PSCC with no stromal invasion identified. She underwent a total laparoscopic hysterectomy and bilateral salpingo-oophorectomy. Final pathology indicated no invasion. She is currently being followed for persistent vaginal dysplasia. Conclusion PSCC is a rare tumor that has previously been described as less aggressive than classical squamous cell carcinoma. These two cases demonstrate the complex behavior of the disease. Case 1 highlights that PSCC may recur even when stromal invasion cannot be confirmed pathologically.

Original languageEnglish (US)
Pages (from-to)18-21
Number of pages4
JournalGynecologic Oncology Case Reports
Volume18
DOIs
StatePublished - Nov 1 2016

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Papillary Carcinoma
Cervix Uteri
Squamous Cell Carcinoma
Ovariectomy
Hysterectomy
Biopsy
Pathology
Carcinoma
Papanicolaou Test
Neoplasms
Lymph Node Excision
Cisplatin
Radiotherapy
Hemorrhage
Recurrence
Growth

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

Cite this

Papillary squamous cell carcinoma of the cervix : Two cases and a review of the literature. / Turker, Lauren B.; Gressel, Gregory M.; Abadi, Maria; Frimer, Marina.

In: Gynecologic Oncology Case Reports, Vol. 18, 01.11.2016, p. 18-21.

Research output: Contribution to journalArticle

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N2 - Objective Papillary squamous cell carcinoma of the cervix (PSCC) is a rare and distinct form of cervical carcinoma. Detecting stromal invasion on biopsy is difficult due to the papillary growth of the tumor. Here we present two cases that highlight the diagnostic and clinical challenges of PSCC. Case 1 A 50-year-old woman found to have carcinoma on a routine pap-smear. The patient was diagnosed with PSCC on colposcopic biopsy and underwent a radical hysterectomy, bilateral salpingo-oophorectomy and pelvic lymph node dissection. Her final pathology demonstrated PSCC with no evidence of stromal invasion. At her 3-month follow up visit, she was noted to have a tumor recurrence at the vaginal cuff, again with no stromal invasion. She is currently undergoing definitive radiation therapy with sensitizing cisplatin. Case 2 An 82-year-old woman presented with post-menopausal bleeding and was found to have an exophytic mass. Biopsies were taken and showed PSCC with no stromal invasion identified. She underwent a total laparoscopic hysterectomy and bilateral salpingo-oophorectomy. Final pathology indicated no invasion. She is currently being followed for persistent vaginal dysplasia. Conclusion PSCC is a rare tumor that has previously been described as less aggressive than classical squamous cell carcinoma. These two cases demonstrate the complex behavior of the disease. Case 1 highlights that PSCC may recur even when stromal invasion cannot be confirmed pathologically.

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