A Rare Uterine Tumor in a 76 Year Old Female
Oana Rafael, MD
Presentation Date: May 1, 2016; Expires: May 31, 2019
Describe the cytomorphological features of this neoplasm.
Differential diagnosis of this neoplasm.
Select the appropriate immunocytochemical stains to rich the correct diagnosis.
Raise awareness of non-common uterine neoplasms.
A 76 year old female with a past medical history of coronary artery disease, hyperlipidemia, hypertension, osteoporosis, tonsillectomy, and cognitive impairment presented with complaints of abdominal pain and fullness. Family history is relevant for maternal breast cancer.
A CT of the abdomen and pelvis was performed showing an 8.0 x 6.6 x 6.0 cm heterogeneous partially necrotic uterine mass and large retroperitoneal lymphadenopathy. Mass was closely abutting the posterior bladder and anterior rectum and seemed to invade the parametrium bilaterally. Ascites was not present. Enlarged 3.4 x 2.8 cm left and 2.6 x 2.2 cm right obturator lymph nodes were visualized. Fine needle aspiration of the largest lymph node was subsequently performed.