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Extra resources for Advances in Surgical Pathology: Endometrial Carcinoma
5 Villoglandular Variant This variant is characterized by the presence of slender, finger-like papillae lined by columnar cells with low-grade cytologic atypia. The nuclei of the neoplastic cells preserve their polarity in relation to the basement membrane of the epithelium, and the contour of the papillae is smooth (Fig. 4-7). 14 Secretory Variant This rare variant of endometrioid adenocarcinoma is usually seen in postmenopausal patients, although it can also occur in premenopausal patients, with or without a history of endogenous or exogenous progestational effect.
34 Section II • Histopathology FIGURE 3-18: Squamous metaplasia. 25 However, ciliated cells also can be noted within glands in endometrium stimulated by unopposed estrogen5 or in inactive endometrium (unpublished personal observation). Ciliated cells may have eosinophilic, basophilic, or pale cytoplasm. The nuclei are stratified, oval, or round, with even distribution of the chromatin and small nucleoli (Fig. 3-19). The round nuclei with nucleoli in ciliated metaplasia should not be mistaken for the atypia of hyperplasia.
2006;106:804–811. 21. Baak JP, Mutter GL, Robboy S, et al. The molecular genetics and morphometry-based endometrial intraepithelial neoplasia classification system predicts disease progression in endometrial hyperplasia more accurately than the 1994 World Health Organization classification system. Cancer. 2005;103:2304–2312. 22. Lacey JV, Mutter GL, Nucci MR, et al. Risk of subsequent endometrial carcinoma associated with endometrial intraepithelial neoplasia classification of endometrial biopsies.