Difference between revisions of "Stratified mucin-producing intraepithelial lesion of the cervix"

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==General==
==General==
*Rare.
*Rare ~0.6% of cervix lesions in one series.<ref name=pmid25039487>{{Cite journal  | last1 = Boyle | first1 = DP. | last2 = McCluggage | first2 = WG. | title = Stratified mucin-producing intraepithelial lesion (SMILE): report of a case series with associated pathological findings. | journal = Histopathology | volume = 66 | issue = 5 | pages = 658-63 | month = Apr | year = 2015 | doi = 10.1111/his.12498 | PMID = 25039487 }}</ref>
*Often accompanied by [[cervical intraepithelial neoplasia]] and [[adenocarcinoma in situ]].<ref name=pmid11023104/>
*Often accompanied by [[cervical intraepithelial neoplasia]] and [[adenocarcinoma in situ]].<ref name=pmid11023104/>



Revision as of 13:22, 16 June 2016

Stratified mucin-producing intraepithelial lesion of the cervix is a rare dysplastic lesion of the uterine cervix.

It is abbreviated SMILE (Stratified Mucin-producing Intraepithelial LEsion).

General

Microscopic

Features:[2]

  • Stratified epithelium with:
    • Nuclear atypia.
    • Cytoplasmic clearing or vacuoles in lesions - through-out.

DDx:

  • HSIL.
    • Mucin may be present superficially.[2]

Images

IHC

Features:

  • Ki-67 high.
  • Keratin 14 -ve.
  • p63 +ve/-ve -- only basal if positive.

See also

References

  1. Boyle, DP.; McCluggage, WG. (Apr 2015). "Stratified mucin-producing intraepithelial lesion (SMILE): report of a case series with associated pathological findings.". Histopathology 66 (5): 658-63. doi:10.1111/his.12498. PMID 25039487.
  2. 2.0 2.1 2.2 Park, JJ.; Sun, D.; Quade, BJ.; Flynn, C.; Sheets, EE.; Yang, A.; McKeon, F.; Crum, CP. (Oct 2000). "Stratified mucin-producing intraepithelial lesions of the cervix: adenosquamous or columnar cell neoplasia?". Am J Surg Pathol 24 (10): 1414-9. PMID 11023104.
  3. URL: http://sunnybrook.ca/content/?page=Dept_LabS_APath_GynPath_ImgAt_Cvx_mal_ais_smile. Accessed on: 30 March 2012.