title: A case of invasive squamous cell carcinoma on the surface of pedunculated cervical leiomyoma presenting an exophytic cervical cancer.
abstract: BACKGROUND
  Cervical cancer on the mucosal surface of a pedunculated cervical leiomyoma has not been reported.
  
  
  METHODS
  A 54-year-old woman who had a bulky protruding cervical tumor with a history of a vaginal bleeding was diagnosed as having squamous cell cancer of the cervix. She received a total of 45 Gy (1.8 Gy daily using 15MV photons) external pelvic irradiation. However, on the follow-up MRI, the mass showed no response. The pedunculated exophytic mass was excised and the pathologic examination showed a leiomyoma covered by cervical stroma and squamous cell carcinoma. She then received additional intracavitary brachytherapy.
  
  
  CONCLUSIONS
  This is the first case reported in the literature of squamous cell carcinoma on the surface of peduculated cervical leiomyoma that presented as an exophytic cervical tumor.
authors.affiliation: Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon Dong, Kangnam Ku, Seoul, 135-710, Korea.
authors.forename: Hee
authors.initials: H
authors.lastname: Rim Nam
authors.forename: Seung
authors.initials: S
authors.lastname: Jae Huh
authors.forename: Chong
authors.initials: C
authors.lastname: Taik Park
authors.forename: Bohyun
authors.initials: B
authors.lastname: Kim
authors.forename: Geunghwan
authors.initials: G
authors.lastname: Ahn
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis / Q000473:pathology*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000473:pathology*