K.2.2 Endometrium cervix

• From a female of 84 years with a history of bleeding p.v. for 3/12 (post menopausal).
• Slight abdominal pain for same duration
• The uterus appears to be bulky.
• The cut section shows, on the right of the specimen, a tumour mass arising from the body of the uterine cavity extending from the fundus almost to the internal os.
• This mass appears to be necrotic, haemorrhagic and friable.
• The ovary on the same side shows a pale cut surface with focal, white specks of tissue. (? Tumour tissue)
• The left ovary shows a large cyst with a smooth inner lining.
• The cervix appears normal.
• Histology showed Papillary Adenocarcinoma, arising from the endometrium, infiltrating the myometrium and the ovary on that side.