IMR Press / EJGO / Volume 19 / Issue 6 / pii/1998218

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report

Papillary serous carcinoma of the cervix: ultrasonographic findings

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1 Division of Gynecologic Oncology, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, St. Vincent Hmpitals and Health Services, Indianapolis, Indiana, USA
2 Department of Pathology, St. Vincent Hmpitals and Health Services, Indianapolis, Indiana, USA
Eur. J. Gynaecol. Oncol. 1998, 19(6), 519–521;
Published: 10 December 1998

Background: Papillary serous carcinoma of the uterine cervix is a rare malignancy only recently described. Optimal treatment is unknown. Case Report: A 65 year old white female, approximately 15 years postmenopausal, presented with a recent history of postmeno­pausal bleeding. Cervical cytology was negative for any abnormalities. Ultrasonography of the pelvis revealed a thickened anterior endometrium with fluid present along with a papillary mass in the endocervix. Hysteroscopy, dilatation and curettage revealed a low uterine segment mass consistent with a pathologic diagnosis of grade 2 endometrioid adenocarcinoma of the endometriurn. A total abdominal hysterectomy, bilateral salpingo-oophorectomy and bilateral pelvic and paraaortic lymphadenectomy revealed a papillary serous carcinoma of the cervix metastatic to pelvic and paraaortic lymph nodes. Conclusion: Cervical papillary serous carcinoma can be discovered pre- operatively by ultraonography. Because of its relatively recent description and relatively rarity, optimal treatment is unknown.

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