Secondary Cervical Cancer in a Patient with Chronic Lymphocytic Leukemia and Recurrent Chronic Lymphocytic Leukemia Mimicking Recurrent Cervical Dysplasia A Case Report

作者：Magley Joseph; Moyers Carolyn; Ballard Karen S; Tedjarati Sean^*

来源：Journal of Reproductive Medicine, 2010, 55(3-4): 175-178.

• cervical cancer
• cervical diseases
• chronic lymphocytic leukemia

BACKGROUND: Patients with chronic lymphocytic leukemia (CLL) have up to a 3-fold risk of site-specific exception is a lower bid-secondary cancers. The only exception is a lower incidence of cervical cancer in this population.
CASE: A 70-year-old, white woman with stage IV CLL was diagnosed 2 years prior to presentation with stage Ia1 squamous cell carcinoma of the cervix. Following an abnormal Pap smear, a colposcopy and biopsies were performed. Initial pathologic impression of the cervical biopsies was high grade dysplasia. The final review was consistent with CLL without cervical dysplasia.
CONCLUSION: Cervical cancer in patients with CLL is a rare occurrence. The pathologic changes on cervical epithelium caused by CLL can mimic dysplastic cellular changes. Expert pathologic review of cervical biopsies is warranted to distinguish between the diagnoses, thus altering management. (J Reprod Med 2010;55:175-178)

• 出版日期2010-4