Primary endometrial small cell carcinoma

摘要

A 67-year-old, G:3, P:3, woman presented with postmenopausal vaginal bleeding. Her previous medical history was unremarkable. Transvaginal ultrasound showed a 4 X 3 cm endometrial malignant tumour mass. Material obtained from endometrial curettage was reported as high-grade endometrial small cell carcinoma with neu-roendocrine differentiation. Preoperatively, magnetic resonance imaging showed myometrial invasion (Figure 1). A total abdominal hysterectomy, bilateral salpingo-oophorectomy and bilateral pelvic and para-aortic lymph node dissection (up to the renal vein) were performed.