Occult cervical microinvasive squamous cell carcinoma with superficial endometrial spread mimicking high-grade squamous intraepithelial lesion in a postmenopausal woman: a case report - Takeaways - MDSpire

Occult cervical microinvasive squamous cell carcinoma with superficial endometrial spread mimicking high-grade squamous intraepithelial lesion in a postmenopausal woman: a case report

  • By

  • Yuying Chen

  • Xi Zhao

  • Gege Wang

  • Ziwei Liu

  • Guangchao Sun

  • Yan Jia

  • July 16, 2026

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  • 1

    A 56-year-old postmenopausal woman was misdiagnosed with high-grade squamous intraepithelial lesion during conization.

  • 2

    Final pathology revealed microinvasive squamous cell carcinoma with superficial endometrial spread, not identified in initial assessments.

  • 3

    Immunohistochemistry confirmed the cervical origin of the neoplasm, distinguishing it from primary endometrial disease.

  • 4

    Cervical atrophy in postmenopausal women may compromise diagnostic accuracy of colposcopy and conization.

  • 5

    The case emphasizes the need for careful evaluation of cervical lesions in postmenopausal women to avoid underestimating invasive disease.

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