© 2012 The Korean Society of Pathologists/The Korean Society for CytopathologypISSN 1738-1843

Villoglandular adenocarcinoma (VGA) of the endocervix is an infrequent well-differentiated form of cervical adenocarcino-ma, accounting for 3.7 % to 4.8 % of cervical adenocarcinomas.1,2 It has been described predominantly in younger women of less than 40 years of age, and has been reported to have a better prog-nosis than the more common types of adenocarcinoma, since it is infrequently associated with lymphovascular invasion.1-7 His-tologically, VGA is characterized by an exophytic growth with long and slender papillary structures and mild nuclear atypia, and the cytologic features of this tumor have been described to be relatively bland-looking compared to conventional adenocar-cinomas, potentially leading to an underdiagnosis of reactive cellular changes.8-11 Moreover, the cytologic findings of VGA have been reported in only a few reports,8-11 and to our knowl-edge, there is only one case report to date describing the liquid-based cytology (LBC) features of an endocervical adenocarcino-ma with villoglandular features.12 We report herein the LBC (SurePathTM, TriPath Care Technologies, Burlington, NC, USA) findings of three histologically confirmed VGAs which we have recently encountered. Despite the relatively bland-looking cy-tologic features, two VGAs were associated with lymphovascu-lar invasion or pelvic lymph node metastasis