PMC5021459_01
Sagittal view of pelvic MRI showing 4.3 x 3.6 cm cervical mass extending to the lower uterine segment (LUS) and left vaginal fornix with evidence of parametrial invasion on the left side.
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Two left internal iliac enlarged lymph nodes, the largest measuring about 1.1 cm at short axis, and right external iliac small lymph node measuring 0.7 cm at short axis (Figure 1) were present.
CT-PET imaging showing uptake in two left internal iliac lymph nodes and uptake in right external iliac small lymph node.
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Computed tomography- (CT-) positron emission tomography (PET) confirmed the MRI findings with no evidence of distant metastasis (Figure 2).
Cervical biopsy superficial fragment of papillary structures each containing a delicate fibrovascular core (H&E stain, 40x magnifications).
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Hematoxylin and eosin (H&E) staining showed a superficial fragment of papillary structures, each containing a delicate fibrovascular core, lined by multilayered atypical epithelial cells resembling squamous and transitional type epithelium, favoring the diagnosis of PSTCC (Figures 3 and 4).
Papillary formation with squamotransitional cells having polygonal shape, distinct cell borders, abundant eosinophilic cytoplasm, pleomorphic nuclei, prominent nucleoli, and occasional mitotic figures (H&E stain, 200x magnifications).
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fig4
Hematoxylin and eosin (H&E) staining showed a superficial fragment of papillary structures, each containing a delicate fibrovascular core, lined by multilayered atypical epithelial cells resembling squamous and transitional type epithelium, favoring the diagnosis of PSTCC (Figures 3 and 4).