PMC3247781_01
Macroscopic appearance and schematic view of the hysterectomy specimen. (A) The opened uterus reveals a large polypoid mass in the anterior wall and a broad-based protruding mass in fundus. (B) The posterior wall of uterine corpus shows a slightly elevated mass. (C, D) Schematic view of three separate tumors with their pathologic diagnosis.
jkms-27-89-g001.jpg
PMC3247781_01_jkms-27-89-g001.jpg
F1
On opening of the uterus, there were three separated masses arising from the endometrium (Fig. 1).
Histopathology of the hysterectomy specimen HE stained. (A) Papillary serous carcinoma, which is found at fundus of uterine corpus, consists of pleomorphic tumor cells with papillary growth pattern. (B) The lymphovascular invasion is present at the periphery of the papillary serous carcinoma. (C) Section from posterior wall consists of endometrioid adenocarcinoma, showing glandular and solid growth pattern. (D) Section from polypoid mass reveals malignant mixed mullerian tumor, consisting of carcinomatous and sarcomatous components.
jkms-27-89-g002.jpg
PMC3247781_01_jkms-27-89-g002.jpg
F2
The histologic findings and immunohistochemical staining results of these tumors revealed a malignant mixed mullerian tumor, papillary serous carcinoma, and endometrial adenocarcinoma, respectively (Fig. 2).