Atypical lobular endocervical glandular hyperplasia: two case report and literature review

Ziqing Wan; Shuang Liu; Na Sang; Yi Tang; Peng Wen; Pu Zhang; Chuqiang Shu

doi:10.3389/fonc.2023.1298793

Atypical lobular endocervical glandular hyperplasia: two case report and literature review

Front Oncol. 2023 Dec 5:13:1298793. doi: 10.3389/fonc.2023.1298793. eCollection 2023.

Authors

Ziqing Wan¹, Shuang Liu¹, Na Sang¹, Yi Tang¹, Peng Wen¹, Pu Zhang¹, Chuqiang Shu¹

Affiliation

¹ Department of Obstetrics & Gynecology, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, China.

Abstract

Atypical lobular endocervical glandular hyperplasia (ALEGH) is considered a precancerous lesion of gastric-type adenocarcinoma (GAS)/minimal deviation adenocarcinoma (MDA) characterized by an insidious onset, atypical symptoms, and often negative human papillomavirus (HPV) screening. Early screening for this disease is challenging, leading to a high rate of missed clinical diagnoses and the development of malignant tumors at the onset. Increased vaginal discharge and the presence of imaging cystic masses at the internal cervical ostium are often observed in patients with ALEGH. Therefore, we reviewed the clinical data of two cases of ALEGH that were identified and diagnosed in the early stages at our hospital. Through a comprehensive analysis of the medical history and diagnosis plan, combined with a review of relevant literature, to improve the early recognition and diagnosis of ALEGH, as well as strengthen the management of cervical precancerous lesions.

Keywords: atypical lobular endocervical glandular hyperplasia; diagnosis; gastric-type adenocarcinoma; human papillomavirus; pathology; therapy.

Publication types

Case Reports

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by the Natural Science Foundation of Hunan Province, China (2022JJ70092 and 2022JJ70093).