PMC7771410_01
A 63-year-old postmenopausal woman who presented with a 3-week history of vaginal bleeding. Transabdominal ultrasound imaging of the uterus displays thickening of the endometrial stripe (between calibers) compatible with endometrial malignancy. Furthermore, visible is an echogenic mass (asterisk).
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F1
Transabdominal US imaging identified an echogenic uterine mass and thickening of the endometrial stripe suggestive of endometrial malignancy [Figure 1].
A 63-year-old postmenopausal woman who presented with a 3-week history of vaginal bleeding. Color Doppler ultrasound image of the uterus displays hypervascularity of the endometrial adenocarcinoma adjacent to the fatty mass.
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F2
Color Doppler US revealed hypervascularity of the endometrial mass [Figure 2].
A 63-year-old postmenopausal woman who presented with a 3-week history of vaginal bleeding. Axial contrast-enhanced computed tomography image of pelvis displays a fatty mass on the right aspect of uterus (asterisk) with thickening of the endometrial stripe on the left aspect of the uterus (arrow).
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F3
CT scan of her abdomen and pelvis. CT imaging revealed a fatty mass located on the right aspect of uterine corpus, superolateral to the endometrial malignancy [Figures 3-5].
A 63-year-old postmenopausal woman who presented with a 3-week history of vaginal bleeding. Sagittal contrast-enhanced computed tomography image of abdomen and pelvis displays a fatty mass (asterisk) in the uterus superiorly with endometrial malignancy (arrow) inferiorly.
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F4
CT scan of her abdomen and pelvis. CT imaging revealed a fatty mass located on the right aspect of uterine corpus, superolateral to the endometrial malignancy [Figures 3-5].
A 63-year-old postmenopausal woman who presented with a 3-week history of vaginal bleeding. Coronal contrast-enhanced computed tomography image of abdomen and pelvis displays a fatty mass in the right aspect of the uterus (asterisk) and endometrial malignancy left the uterus (arrow).
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F5
CT scan of her abdomen and pelvis. CT imaging revealed a fatty mass located on the right aspect of uterine corpus, superolateral to the endometrial malignancy [Figures 3-5].
A 63-year-old postmenopausal woman who presented with a 3-week history of vaginal bleeding. Histopathology of the uterine lipoleiomyoma (hematoxylin-eosin). (a) Lower power (x100) shows admixture of spindle cell (star) and adipose tissue (asterisk). (b) Higher power view (x400) shows benign smooth muscle cells (arrows) without significant atypia or mitotic activity.
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F6
Microscopic examination of the myomatous mass revealed multiple groupings of mature adipocytes mostly uniform in size and shape separated by bundles of spindle cells [Figure 6a]. Higher magnification revealed the spindle cell bundles to consist mostly of benign mature smooth muscle cells without significant atypia or mitotic activity with small numbers of admixed mast cells and eosinophils [Figure 6b].