ABSTRACT
Adenoid cystic carcinoma of the cervix is a rare and aggressive tumor with fatal outcome. In this paper we report two cases of primary adenoid cystic carcinoma and a review of literature. A 80 years old woman, admitted to our hospital with postmenopausal bleeding and hydrorrhea. Gynealogical examination showed a cervical stenotic with the presence of a tumor processus. Biopsy of cervical growth was done. 80-year-old woman presented with vaginal bleeding with pelvic pain. Physical examination revealed a friable mass in the cervix. Incisional biopsy was performed. In the both cases the diagnosis of adenoid cystic carcinoma of the cercix was confirmed. Adenoid cystic carcinoma of the cervix is clinically and radiologically similar to other tumors of the cervix but the diagnosis can only be made by histological examination.
Subject(s)
Carcinoma, Adenoid Cystic/pathology , Uterine Cervical Neoplasms/pathology , Aged, 80 and over , Biopsy , Carcinoma, Adenoid Cystic/diagnosis , Female , Humans , Uterine Cervical Neoplasms/diagnosisABSTRACT
Vaginal metastasis from pancreatic cancer is an extreme case and often indicates a poor prognosis. We present a case of pancreatic carcinoma with metastasis to the vagina that was discovered by vaginal bleeding. To our knowledge, this is the third case in the world of a primary pancreatic adenocarcinoma discovered of symptoms from a vaginal metastasis.
Subject(s)
Adenocarcinoma, Mucinous/secondary , Pancreatic Neoplasms/pathology , Vaginal Neoplasms/secondary , Adenocarcinoma, Mucinous/chemistry , Adenocarcinoma, Mucinous/complications , Adenocarcinoma, Mucinous/pathology , Aged , Biomarkers, Tumor/analysis , Biopsy , Female , Hemorrhage/etiology , Humans , Keratin-19/analysis , Keratin-20/analysis , Pancreatic Neoplasms/diagnostic imaging , Tomography, X-Ray Computed , Vagina , Vaginal Neoplasms/chemistry , Vaginal Neoplasms/complications , Vaginal Neoplasms/pathologyABSTRACT
BACKGROUND: Breast cancer may be classified into luminal A, luminal B, HER2+/ER-, basal-like and normal-like subtypes based on gene expression profiling or immunohistochemical (IHC) characteristics. The aim of our study is to show the molecular profile characteristic of breast cancer in the North African population of Morocco. This work showed preliminary results and correlations with clinicopathological and histological parameters. Three hundred and ninety primary breast carcinomas tumor tissues were immunostained for ER, PR, HER2, CK5/6, CK8/18 and Ki67 using paraffin tissue. METHODS: We reviewed 390 cases of breast cancer diagnosed on January 2008 to December 2011 at the Department of pathology, Hassan II teaching hospital, Fez, Morocco. Age, size tumor, metastatic profile, node involvement profile, histological type and immunohistochemical profile were studied. RESULTS: The average age was 46 years; our patients were diagnosed late with a high average tumor size. Luminal B subtype was more prevalent (41.8%), followed by luminal A (30.5%), basal-like (13, 6%), Her2-overexpressing (9, 2%), and unclassified subtype (4.9%). CONCLUSION: This study showed that molecular classification and biological profile may be different according to geographical distribution, to encourage further studies to know the genomic profile of tumors and the environment.
