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Adenocarcinoma in situ of Cervix
Etiology

Associated with human papilloma virus infection, especially type 18.
Pathogenesis

Viral integration into host cell genome in fully malignant cells.,
Epidemiology

Multiple sexual partners.
Partner with multiple partners.
Same as sexually transmitted disease.
General Gross Description

Not grossly recognizable.
•Examples:
General Microscopic Description

Columnar cells with enlarged, hyperchromatic nuclei
Atypical nuclear chromatin
Piling up of cells in epithelium with loss of polarity to surface
Prominent nucleoli
•Examples:
Adenocarcinoma in Situ of Endocervix (High Power) Adenocarcinoma in Situ of Endocervix (Medium Power) Adenocarcinoma in Situ of Endocervix (High Power) Adenocarcinoma in Situ of Endocervix (Low Power)
Clinical Correlation

May be detected on routine pap smear but difficult to assess
Usually found in conjunction with invasive disease
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1052.

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Adenocarcinoma in situ of Cervix
Synopsis by: Melinda Sanders M.D. (T83300M81402)[275]
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