Intraduction
Endocervical clear cell carcinoma: a rare case report         Endocervical clear cell carcinoma (BCC) is a rare, low-differential variant of the histologic type of adenocarcinoma of the cervix). It is originated from endocervical glandular cells and is the main cause of in utero DES exposure, which is the most important etiologic factor in hpv 16,18. 
     At the age of 69 years, radical hysterectomy of endocervical and endometrial curettage material admitted with complaints of vaginal bleeding for 6 months and pathologic end-stage BHK, right, left salpingooferektomy and right and left pelvic lymphadenectomy. Microscopy was reported as histological grade 3, stromal invasion 1.6 cm, horizontal lavage 5 cm, vaginal surgery clear, parame- terial surgical margin 1 mm endocervical clear cell adenocarcinoma. On both sides there were 1 lymph node metastasis. 2 cycles of pelvic and periaortic RT, and 3 doses of intracavitary brachytherapy. After 16 months, hydronephrosis was detected and nephrostomy was performed on the dj stent. PET CT revealed hypermetabolic lymphadenopathies in the paraaortic, aorticaval and paracaval areas with a 2 cm hypermetabolic lesion in the left ureterovesical component. Our clinic was referred to the oncology council for systemic CT and after surgery was deemed appropriate if necessary. 
Picture !:Histopathology (H & E x20)
 Hyperchromatic with inflammatory cells in the stroma, abundant transparent cytoplasm
tubular structures paved with pleomorphic nucleus clear cells
Picture 2,Immunohistopathology (HNF 1 β)HNF 1 β (x10) antibodies with immunoreactivity "clear cell
Adenocarcinoma is a valuable findingImmunohistopathology (Napsin A)
Picture:3 Napsin A, immunoreactivity with (X10) antibodies "clear cell Adenocarcinoma is a valuable finding