Primary Squamous Cell Carcinoma of the Endometrium.

Jung, Dong Won; Han, Sang Won; Kim, Nam Sik; Hong, Soon Won; Yang, Suk Woo; Hong, Min

Case Report

Korean Journal of Obstetrics & Gynecology 1997;40(9):2092-2096.
Published online January 1, 2001.

Primary Squamous Cell Carcinoma of the Endometrium.

Dong Won Jung, Sang Won Han, Nam Sik Kim, Soon Won Hong, Suk Woo Yang, Min Hong

¹Department of Obstetrics and Gynecology, Yonsei University, College of Medicine, Wonju, Korea.
²Department of Pathology, Yonsei University, College of Medicine, Wonju, Korea.

Abstract

Primary endometrial squamous cell carcinoma is extremely rare, with only 64 cases reported in the literature. In 1928 Fluhmann proposed three criteria for differentiating primary from secondary endometrial squamous cell carcinoma: (1) no coexisting endometrial adenocarcinoma (2) no connection between the endometrial tumor and the squamous epithelium of the cervix, and (3) no squamous cell carcinoma of the cervix present. Several authors have modified these criteria in their case presentations. Kay accepts the presence of an in situ cervical carcinoma, if there is no connection between cervical carcinoma in situ and the endometrial tumors. We have experienced a case of simultaneous carcinoma in situ of the cervix and endometrial squamous cell careinoma. This case was treated with chemotherapy(cisplatin, 5-fluoruracil) and external radiation following extended hysterectomy and bilateral salpingooophorectomy We report this case with a review of the concerned literatures.

Key Words: Endometrium, Squamous cell carcinoma