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Cytopathology of the Glandular Lesions of the Female Genital Tract

Cytopathology of the Glandular Lesions of the Female Genital Tract

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41 5.4. Uncommon Carcinomas <strong>of</strong> <strong>the</strong> Cervix41 5.4.1. Adenosquamous Carcinoma <strong>of</strong> <strong>the</strong> Cervix41 5.4.2. Glassy Cell Carcinoma Variant42 5.4.3. Adenoid Cystic Carcinoma <strong>of</strong> <strong>the</strong> Cervix43 5.4.4. Adenoid Basal Carcinoma <strong>of</strong> <strong>the</strong> Cervix43 5.4.5. Neuroendocrine Tumors43 5.5. Tumors Metastatic to <strong>the</strong> Cervix44 ReferencesChapter 6Endometrial Hyperplasias45 6.1. Introduction45 6.2. Clinical Features45 6.3. Pathophysiology46 6.4. Histopathology: WHO Classification47 6.5. Multicentric European Study on Endometrial Hyperplasia47 6.6. Diagnosis <strong>of</strong> Endometrial Hyperplasia47 6.7. Differential Diagnosis <strong>of</strong> Endometrial Hyperplasias48 6.8. Endometrial Intraepi<strong>the</strong>lial Neoplasia48 6.8.1. Concept48 6.8.2. Clinical Features48 6.8.3. Diagnosis48 6.8.4. Management <strong>of</strong> EIN48 6.9. Current Status <strong>of</strong> <strong>Cytopathology</strong> <strong>of</strong> Endometrial Hyperplasias49 6.10. Practical Considerations49 6.11. <strong>Cytopathology</strong> <strong>of</strong> Endometrial Hyperplasias: The Jiménez-Ayala Classification49 6.11.1. Endometrial Hyperplasia50 6.11.2. Endometrioid Neoplasia51 ReferencesChapter 7Endometrial Adenocarcinoma: Current Status and Future <strong>of</strong> Prevention andEarly Diagnosis52 7.1. Introduction52 7.2. Current Status <strong>of</strong> <strong>the</strong> Prevention and Early Diagnosis <strong>of</strong> Endometrial Adenocarcinoma52 7.2.1. Increasing Incidence52 7.2.2. Pathogenesis53 7.2.3. High-Risk Population53 7.2.4. High-Risk Factors53 7.2.5. Diagnostic Methods for Endometrial Screening Program54 7.2.5.1. Techniques <strong>of</strong> Endometrial Cytology54 7.2.5.2. Histological Techniques55 7.2.5.3. New Gynecological Methods55 7.2.6. Histopathology <strong>of</strong> EmA: Grading55 7.2.7. Cytopathological Grading <strong>of</strong> EmA56 7.2.7.1. Low-Grade Adenocarcinoma (Well Differentiated)56 7.2.7.2. High-Grade Adenocarcinoma (Poorly Differentiated)57 7.2.8. Liquid-Based Preparation57 7.3. Future <strong>of</strong> Prevention and Early Diagnosis57 7.3.1. Challenges in Detection <strong>of</strong> Endometrial Malignant <strong>Lesions</strong>57 7.3.1.1. Assessment <strong>of</strong> High-Risk PopulationContentsIX

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