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K.2.4 Endometrial carcinoma

  • From a 65 year old female who presented with irregular bleeding per vaginum for 2 months.

 

  • The specimen is that of the uterus along with the cervix, a cuff of vagina and both fallopian tubes and ovary of one side.
  • The fallopian tubes and ovary appear normal.
  • The cervix and the vaginal cuff show no abnormality.
  • The uterus however shows a necrotic haemorrhagic lump arising from the fundus.
  • This tumour mass seems to have approached the internal cervical os and almost fills the uterine cavity.

 

  • Histology showed Adenocarcinoma

 

Clinical presentation

A 65 year old female presented with irregular bleeding per vaginum for 2 months.

Questions

1. Macroscopically does this tumour appear malignant? Give reasons.

 

2. What are the mass lesions that could arise in the endometrium?

Answers

1. Macroscopically does this tumour appear malignant? Give reasons.

Yes. A fleshy friable tumour indicates malignancy.

 

2. What are the mass lesions that could arise in the endometrium?

Endometrial adenocarcinoma

Endometrial stromal tumours

 

 

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