Small cell neuroendocrine carcinoma expressing alpha fetoprotein in the endometrium

Rare small cell neuroendocrine carcinoma (SCNEC) cases showed alpha fetoprotein (AFP) expression in the endometrium. In this study, we reported a case of uterine SCNEC expressing AFP. In addition, a literature review was performed to investigate the potential mechanism and the clinicopathological fe...

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Autores principales: Hou Weiwei, Zhou Bin, Hou Gang, Pang Yu, Sang Jing, Li Ning
Formato: article
Lenguaje:EN
Publicado: De Gruyter 2021
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spelling oai:doaj.org-article:e065281b0c4c469ab47198611b22ad442021-12-05T14:10:42ZSmall cell neuroendocrine carcinoma expressing alpha fetoprotein in the endometrium2391-541210.1515/biol-2021-0122https://doaj.org/article/e065281b0c4c469ab47198611b22ad442021-11-01T00:00:00Zhttps://doi.org/10.1515/biol-2021-0122https://doaj.org/toc/2391-5412Rare small cell neuroendocrine carcinoma (SCNEC) cases showed alpha fetoprotein (AFP) expression in the endometrium. In this study, we reported a case of uterine SCNEC expressing AFP. In addition, a literature review was performed to investigate the potential mechanism and the clinicopathological features of SCNEC to provide clinical guidance. A 65-year-old female was referred to our hospital due to vaginal bleeding for 1 month in November 2020. The clinical features were summarized. After total hysterectomy and removal of bilateral appendages, the histological examination and immunohistochemistry examination were performed. Histological findings showed that the cancer cells were arranged in a nest-like pattern distributed in a lamellar manner. The smooth muscles of the uterus were invaded by cancer cells. Cancer cells were relatively consistent in size. Small glandular duct-like and rosettes-like structures were distinguished, together with necrotic tissues. The deep staining showed that the amount of cytoplasm was lower in the nucleus. Partial cancer cells had small nucleolus with an irregular profile. There were some mitotic figures. Immunohistochemistry examination indicated that there was a diffuse expression of CK, Syn, CgA, CD56, CK8/18, P16, AFP, HepPar-1, Glypican-3, and Ki67 (90%). In this case, we reported a SCNEC patient expressing AFP, Glypican-3, and HepPar-1.Hou WeiweiZhou BinHou GangPang YuSang JingLi NingDe Gruyterarticlealpha-fetoproteinsmall cell neuroendocrine carcinomaimmunohistochemistryendometriumvaginal bleedingBiology (General)QH301-705.5ENOpen Life Sciences, Vol 16, Iss 1, Pp 1219-1224 (2021)
institution DOAJ
collection DOAJ
language EN
topic alpha-fetoprotein
small cell neuroendocrine carcinoma
immunohistochemistry
endometrium
vaginal bleeding
Biology (General)
QH301-705.5
spellingShingle alpha-fetoprotein
small cell neuroendocrine carcinoma
immunohistochemistry
endometrium
vaginal bleeding
Biology (General)
QH301-705.5
Hou Weiwei
Zhou Bin
Hou Gang
Pang Yu
Sang Jing
Li Ning
Small cell neuroendocrine carcinoma expressing alpha fetoprotein in the endometrium
description Rare small cell neuroendocrine carcinoma (SCNEC) cases showed alpha fetoprotein (AFP) expression in the endometrium. In this study, we reported a case of uterine SCNEC expressing AFP. In addition, a literature review was performed to investigate the potential mechanism and the clinicopathological features of SCNEC to provide clinical guidance. A 65-year-old female was referred to our hospital due to vaginal bleeding for 1 month in November 2020. The clinical features were summarized. After total hysterectomy and removal of bilateral appendages, the histological examination and immunohistochemistry examination were performed. Histological findings showed that the cancer cells were arranged in a nest-like pattern distributed in a lamellar manner. The smooth muscles of the uterus were invaded by cancer cells. Cancer cells were relatively consistent in size. Small glandular duct-like and rosettes-like structures were distinguished, together with necrotic tissues. The deep staining showed that the amount of cytoplasm was lower in the nucleus. Partial cancer cells had small nucleolus with an irregular profile. There were some mitotic figures. Immunohistochemistry examination indicated that there was a diffuse expression of CK, Syn, CgA, CD56, CK8/18, P16, AFP, HepPar-1, Glypican-3, and Ki67 (90%). In this case, we reported a SCNEC patient expressing AFP, Glypican-3, and HepPar-1.
format article
author Hou Weiwei
Zhou Bin
Hou Gang
Pang Yu
Sang Jing
Li Ning
author_facet Hou Weiwei
Zhou Bin
Hou Gang
Pang Yu
Sang Jing
Li Ning
author_sort Hou Weiwei
title Small cell neuroendocrine carcinoma expressing alpha fetoprotein in the endometrium
title_short Small cell neuroendocrine carcinoma expressing alpha fetoprotein in the endometrium
title_full Small cell neuroendocrine carcinoma expressing alpha fetoprotein in the endometrium
title_fullStr Small cell neuroendocrine carcinoma expressing alpha fetoprotein in the endometrium
title_full_unstemmed Small cell neuroendocrine carcinoma expressing alpha fetoprotein in the endometrium
title_sort small cell neuroendocrine carcinoma expressing alpha fetoprotein in the endometrium
publisher De Gruyter
publishDate 2021
url https://doaj.org/article/e065281b0c4c469ab47198611b22ad44
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AT zhoubin smallcellneuroendocrinecarcinomaexpressingalphafetoproteinintheendometrium
AT hougang smallcellneuroendocrinecarcinomaexpressingalphafetoproteinintheendometrium
AT pangyu smallcellneuroendocrinecarcinomaexpressingalphafetoproteinintheendometrium
AT sangjing smallcellneuroendocrinecarcinomaexpressingalphafetoproteinintheendometrium
AT lining smallcellneuroendocrinecarcinomaexpressingalphafetoproteinintheendometrium
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