AI Article Synopsis

  • Extrapulmonary small cell carcinomas often coexist with other types of carcinomas, leading to theories about their origin, including the possibility of arising from a multipotential stem cell.
  • Recent molecular evidence suggests that the small cell component may develop later in the progression of typical organ carcinomas.
  • A case study of uterine cervical adenocarcinoma revealed a 30% small cell carcinoma component, with clear transitional boundaries, supporting the idea that small cell carcinoma can develop from pre-existing adenocarcinomas.

Article Abstract

Extrapulmonary small cell carcinomas are often associated with carcinomas of other cell types. Although a hypothesis that extrapulmonary small cell carcinomas arise from a multipotential stem cell could explain this mixed feature, recent molecular evidence supports another possibility that the small cell component may arise as a late-stage phenomenon in the progression of more organ-typical carcinomas. Here, we report a case of uterine cervical adenocarcinoma containing 30% of small cell carcinoma. Adenocarcinoma was located in the endometrial side of the tumor that was adjacent to the normal cervical region, while small cell carcinoma was located in the periphery of the tumor. The transition from adenocarcinoma to small cell carcinoma was observed in the boundary area. These findings suggest that cervical small cell carcinoma can be differentiated from pre-existing adenocarcinoma and offer further support to the hypothesis that the small cell component arises as a late-stage phenomenon in the progression of more organ-typical carcinomas.

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http://dx.doi.org/10.1111/j.1447-0756.2008.00828.xDOI Listing

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