Papillary serous carcinoma of the cervix: ultrasonographic findings.
BACKGROUND
Papillary serous carcinoma of the uterine cervix is a rare malignancy only recently described. Optimal treatment is unknown.


METHODS
A 65 year old white female, approximately 15 years postmenopausal, presented with a recent history of postmenopausal bleeding. Cervical cytology was negative for any abnormalities. Ultrasonography of the pelvis revealed a thickened anterior endometrium with fluid present along with a papillary mass in the endocervix. Hysteroscopy, dilatation and curettage revealed a low uterine segment mass consistent with a pathologic diagnosis of grade 2 endometrioid adenocarcinoma of the endometrium. A total abdominal hysterectomy, bilateral salpingo-oophorectomy and bilateral pelvic and paraaortic lymphadenectomy revealed a papillary serous carcinoma of the cervix metastatic to pelvic and paraaortic lymph nodes.


CONCLUSIONS
Cervical papillary serous carcinoma can be discovered pre-operatively by ultrasonography. Because of its relatively recent description and relative rarity, optimal treatment is unknown.
Geisler
J P
JP
Department of Obstetrics and Gynecology, St. Vincent Hospitals and Health Services, Indianapolis, Indiana 46260, USA.
Hiett
A K
AK
Geisler
H E
HE
Shade
A
A
Cudahy
T J
TJ
Moore
D K
DK
D000368:Aged; D018283:Cystadenocarcinoma, Papillary / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010052:Ovariectomy; D016896:Treatment Outcome; D014463:Ultrasonography; D002583:Uterine Cervical Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery