Papillary Serous Carcinoma with Basophilic Cytoplasmic Granules

Case History

A 69-year-old white female presented with vaginal bleeding and abdominal distention. A uterine cervical biopsy revealed adenocarcinoma. A laparotomy was performed, with a hysterectomy, bilaterial salpingo-oophorectomy, and multiple omental and abdominal lymph node biopsies. The tumor was present in the endometrium and endocervix with deep myometrial invasion, in both ovaries, numerous peritoneal nodules, and multiple retroperitoneal lymph nodes. Despite postoperative chemotherapy, the patient developed bowel obstruction and died 4 months after surgery. No autopsy was performed

Study the figures without reading the legends and make your diagnosis