The Role of CD10 Staining in Distinguishing Invasive Endometrial Adenocarcinoma from Adenocarcinoma Involving Adenomyosis
CD10 expression in stromal cells distinguishes endometrial adenocarcinoma involving adenomyosis from true myometrial invasion.
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This study evaluated whether CD10 immunohistochemistry could help distinguish invasive endometrial adenocarcinoma (i.e., true myometrial invasion) from endometrial adenocarcinoma involving adenomyosis without myometrial invasion, using 39 hysterectomy specimens categorized into three groups (invasive carcinoma, adenomyosis involved without myometrial invasion, and adenomyosis involved with concurrent myometrial invasion). The key finding was that adenomyotic foci involved by carcinoma showed CD10 expression in adenomyosis stromal cells in all cases, whereas CD10 was absent in cells adjacent to invasive glands in many invasive cases; the authors further noted that CD10 positivity around neoplastic glands did not equate with adenomyosis involvement, because some invasive carcinomas showed CD10 in a desmoplastic or direct-invasion context. A limitation is the small number of cases in the invasive-only subgroups and the reliance on pathological staging criteria that can be challenging in practice. This paper is centrally about endometriosis — it specifically addresses distinguishing endometrial adenocarcinoma invading adenomyosis versus true myometrial invasion using CD10 staining patterns.
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Cited by (10)
- Histopathological characteristics of adenomyosis: structure and microstructure. 2023
- Pathologic Staging of Endometrial Carcinomas: Selected Areas of Difficulty 2018
- IFITM1 Is Superior to CD10 as a Marker of Endometrial Stroma in the Evaluation of Myometrial Invasion by Endometrioid Adenocarcinoma 2016
- Patterns of Myoinvasion in Endometrial Adenocarcinoma 2013
- The Significance of Tumor Involved Adenomyosis in Otherwise Low-stage Endometrioid Adenocarcinoma 2010
- Difficulties in Assessing the Depth of Myometrial Invasion in Endometrial Carcinoma 2007
- Adenomyosis is Associated With Myometrial Invasion by FIGO 1 Endometrial Adenocarcinoma 2007
- Adenomyosis involved by endometrial adenocarcinoma is a significant risk factor for deep myometrial invasion 2007
- CD10 immunohistochemical staining enhances the histological detection of endometriosis 2004
- CD10 and calretinin staining of endocervical glandular lesions, endocervical stroma and endometrioid adenocarcinomas of the uterine corpus: CD10 positivity is characteristic of, but not specific for, mesonephric lesions and is not specific for endometrial stroma 2003
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