Case 250

Surgical Pathology Case
 

CLINICAL INFORMATION

  59-year-old female, post-menopause bleeding.

GROSS DESCRIPTION

  The 236 grams hysterectomy specimen measures 9.5 x 8.5 x 5.5 cm with a smooth unremarkable  serosal surface. Upon bivalving the specimen, the entire uterine cavity is filled with solid pale-pink or pale-yellow tumor mass measuring 6.0 x 4.0 cm. The tumor is rather well-circumscribed with focal deep invasion into the myometrium. Grossly the tumor is 0.7 cm from the closest left lateral margin and 1.3 cm from the internal os. The endocervical canal measures 3.5 cm in length with an unremarkable gross appearance.
     
 
     
 
    HE, 2
 
 

These features are seen in 40% of tumor. HE, 20

These features are seen in 40% of tumor. HE, 20

 
 

HE, 20

HE, 20

 
 

These features are seen in 20% of tumor. HE, 20

HE, 20

 
 

HE, 20

These features are seen in < 10% of tumor. HE, 40

   
 

These features are seen in < 10% of tumor. HE, 20

 

     
 

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan