International Journal of Gynecological Pathology




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Squamous Intraepithelial Lesions of the Uterine Cervix The Long and Winding Road of Our Understanding of Their Morphology, Biology, and the Terminology That Describes Them-From First to LAST.

Wilbur, David C. M.D.; Young, Robert H. M.D.

doi : 10.1097/PGP.0000000000000895

Volume 42(2) pgs. 109-219 March 2023

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Fumarate Hydratase and S-(2-Succinyl)-Cysteine Immunohistochemistry Shows Evidence of Fumarate Hydratase Deficiency in 2% of Uterine Leiomyosarcomas: A Cohort Study of 348 Tumors.

Chapel, David B. M.D.; Sharma, Aarti M.D.; Maccio, Livia M.D.; Bragantini, Emma M.D.; Zannoni, Gian Franco M.D.; Yuan, Liping M.D.; Quade, Bradley J. M.D., Ph.D.; Parra-Herran, Carlos M.D.; Nucci, Marisa R. M.D.

doi : 10.1097/PGP.0000000000000918

AB Approximately 1% to 1.5% of uterine leiomyomas are fumarate hydratase (FH)-deficient (FHd). A subset of these are associated with germline FH mutations. However, the prevalence and clinicopathologic characteristics of FHd uterine leiomyosarcoma (uLMS) remain unknown.

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Evaluation of Saccharomyces cerevisiae-like 1 (SEC14L1) in Gynecologic Malignancies Shows Overexpression in Endometrial Serous Carcinoma.

Banet, Natalie M.D.; Masnick, Max Ph.D.; Quddus, M. Ruhul M.D., M.Phil (Path.)

doi : 10.1097/PGP.0000000000000866

AB Saccharomyces cerevisiae-like 1 (SEC14L1) is a member of the SEC14 family and is involved in liposoluble vitamin transfer, and in a large cohort of breast cancer cases, was one of the genes most significantly associated with lymphovascular invasion (LVI), and had a significant relationship with human epidermal growth factor receptor 2 status, survival, and histologic grade.

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COL1A1-PDGFB Fusion Associated Fibrosarcoma of the Uterine Corpus: A Case Report and Literature Review.

Panwar, Vandana M.D.; Liu, Yu M.D., Ph.D.; Gwin, Katja M.D.; Chen, Hao M.D., Ph.D.

doi : 10.1097/PGP.0000000000000850

AB Uterine collagen type 1 alpha 1 (COL1A1) and platelet-derived growth factor beta chain (PDGFB) fusion associated fibrosarcoma is a recently described entity characterized by a specific translocation t(17;22) (q22;q13) leading to the formation of COL1A1-PDGFB fusion transcripts that are typically associated with dermatofibrosarcoma protuberans.

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A Case of COL1A1-PDGFB Fusion Uterine Sarcoma.

Hogeboom, Adriana M.D.; Barcena, Carmen M.D.; Parrilla-Rubio, Lucia M.D.; Revilla, Enrique M.D.; Ruano, Yolanda Ph.D.; Gallego-Gutierrez, Irene M.D.; Martinez-Lopez, Mario M.D.

doi : 10.1097/PGP.0000000000000875

AB COL1A1-PDGFB gene fusion uterine sarcoma is a recently described entity which shows some overlapping features with dermatofibrosarcoma protuberans. To date, only 4 cases have been reported in the literature.

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Metastatic Uterine Leiomyosarcoma With Rhabdomyosarcomatous Heterologous Differentiation.

Boyraz, Baris M.D., Ph.D.; Gogakos, Tasos M.D., Ph.D.; Raskin, Kevin A. M.D.; Nielsen, Gunnlaugur Petur M.D.

doi : 10.1097/PGP.0000000000000874

AB Heterologous differentiation has only been previously reported twice in metastatic uterine leiomyosarcomas. We report herein the first case of metastatic uterine leiomyosarcoma with rhabdomyosarcomatous differentiation.

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Leiomyoma With Massive Lymphoid Infiltration: 2 Cases With Lymphocytic Vasculopathy and Angiocentric Germinal Centers.

Wong, Jahg M.D.; Roy, Simon F. M.D.; Provencher, Diane M.D., F.R.C.S.C.; Maietta, Antonio M.D., F.R.C.P.C.; Rahimi, Kurosh M.Sc., M.D., F.R.C.P.C.

doi : 10.1097/PGP.0000000000000881

AB Uterine leiomyoma with massive lymphoid infiltration is characterized by a dense lymphoid infiltrate and germinal centers sparing the adjacent myometrium. Only few reports describe this entity and its etiology is unknown.

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BAP1 and Claudin-4, But Not MTAP, Reliably Distinguish Borderline and Low-grade Serous Ovarian Tumors From Peritoneal Mesothelioma.

Devins, Kyle M. M.D.; Zukerberg, Lawrence M.D.; Watkins, Jaclyn C. M.D.; Hung, Yin Pun M.D., Ph.D.; Oliva, Esther M.D.

doi : 10.1097/PGP.0000000000000877

AB Peritoneal mesothelioma (PM) and serous neoplasms can be difficult to differentiate, particularly in small biopsies. BRCA1-associated protein 1 (BAP1) is expressed in benign tissues, but over 50% of PMs demonstrate complete loss of nuclear expression.

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Anastomosing Hemangioma of the Ovary With Leydig Cell Hyperplasia: A Clinicopathologic Study of 12 Cases.

McHenry, Austin M.D.; Buza, Natalia M.D.

doi : 10.1097/PGP.0000000000000887

AB Anastomosing hemangioma is a recently described vascular neoplasm, initially identified in the male genitourinary tract. Since its first description, it has been reported at multiple anatomic sites, including rare cases in the female genital tract, most in the ovary.

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Tumor to Tumor Metastasis: A Case Report of Metastatic Angiosarcoma to an Ovarian Brenner Tumor and Review of the Literature.

Dundar, Bilge M.D.; Alrwashdeh, Audai M.B.B.S.; Dahmoush, Laila M.B.Ch.B.

doi : 10.1097/PGP.0000000000000854

AB While angiosarcoma metastatic to the ovary is rare, metastatic angiosarcoma to an ovarian tumor has never been reported in the literature, so far. We report a case of a 61-yr-old postmenopausal woman with history of breast cancer, presenting with metastatic angiosarcoma to an ovarian Brenner tumor.

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Ovarian Combined Serous Borderline Tumor/Low-grade Serous Carcinoma and Mesonephric-like Lesion: Report of 2 Cases With New Observations.

Nilforoushan, Neshat M.D.; Liu, Lian M.D.; Finkelman, Brian S. M.D., Ph.D.; Andersen, John D.O.; Liu, Ying M.D., Ph.D.; James, Jeffrey D.O.; Hung, Chien-Fu Ph.D.; Wu, T.-C. M.D., Ph.D.; Vang, Russell M.D.; Xing, Deyin M.D., Ph.D.

doi : 10.1097/PGP.0000000000000868

AB Ovarian combined serous borderline tumor/low-grade serous carcinomas (SBT/LGSC) and mesonephric-like adenocarcinomas (MLA) have been previously reported and the presence of identical oncogenic somatic mutations in both components supports the concept that at least some of MLAs arise from a Mullerian origin.

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Intralymphatic Histiocytosis Associated With Tubo-ovarian High-grade Serous Carcinoma: Case Report and Review of the Literature.

Bonometti, Arturo M.D.; Carbone, Riccardo M.D.; Cassani, Chiara M.D.; Dioli, Claudia B.Sc.; Lucato, Elena B.Sc.; Spinillo, Arsenio M.D.; Paulli, Marco M.D., Ph.D.; Cesari, Stefania M.D., Ph.D.

doi : 10.1097/PGP.0000000000000878

AB Intralymphatic histiocytosis is a condition characterized by the accumulation of mononuclear phagocytes within lymphatic vessels and lymph nodes that may be isolated or secondary to autoimmune or neoplastic diseases.

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Cystic Walthard Nests of the Peritoneal Diaphragm: A Report of 3 Cases of a Common Process at an Unusual Site and Occurring in Patients With Endometriosis.

Devins, Kyle M. M.D.; Wilkinson, Nafisa M.D.; Barton-Smith, Peter M.D.; Jaio, Long M.D.; Young, Robert H. M.D.

doi : 10.1097/PGP.0000000000000879

AB Nests of cells resembling urothelium, eponymously named "Walthard nests," are well-known incidental findings over the fallopian tube and occasionally undergo cystification resulting in clinical detection and surgical removal. Only rarely is this process noted outside the pelvic peritoneum.

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ORF1p Is a Potential Novel Diagnostic Marker for Differentiated Vulvar Intraepithelial Neoplasia.

Hofstetter, Gerda M.D.; Mildner, Michael M.D.; Tschandl, Philipp M.D.; Pammer, Johannes M.D.

doi : 10.1097/PGP.0000000000000907

AB Accurate diagnosis of differentiated vulvar intraepithelial neoplasia (dVIN) can be challenging as histomorphologic features may be subtle and overlap with nondysplastic lesions.

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Vulvar Squamous Cell Carcinoma With Sarcomatoid Features are HPV-independent Lesions: A Subset are Also Associated With TP53-independent Lesions and Radiation Therapy.

Wong, Jahg M.D.; Roy, Simon F. M.D.; Provencher, Diane M.D., F.R.C.S.C.; Rahimi, Kurosh M.Sc., M.D., F.R.C.P.C.

doi : 10.1097/PGP.0000000000000880

AB Vulvar squamous cell carcinoma of the vulva (VSCC) with sarcomatoid features is a rare variant characterized by spindle-cell morphology and occasional heterologous elements.

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Yolk Sac Tumor Originating From Cervical Adenocarcinoma: A Case Predominated by Enteroblastic Differentiation.

Liu, Xiang-Lan M.D.; Ding, Li M.D.; Lu, Xiao M.D.; Hu, Yan-Jiao M.D.; Zhou, Xiao-Li M.S.; Lin, Dong-Liang M.D.

doi : 10.1097/PGP.0000000000000891

AB The fetal gut-like phenotype can be found in yolk sac tumors and adenocarcinomas with enteroblastic differentiation (AEBDs). We report a cervical yolk sac tumor in a 44-yr-old woman.

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Clear Cell Adenocarcinoma In Situ as a Potential Precursor Lesion for Sporadic Invasive Endocervical Clear Cell Adenocarcinoma.

Stolnicu, Simona M.D., Ph.D.; Zannoni, Gian Franco M.D.; Soslow, Robert A. M.D.

doi : 10.1097/PGP.0000000000000871

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