College of American Pathologists
CAP Committees & Leadership CAP Calendar of Events Estore CAP Media Center CAP Foundation
 
About CAP    Career Center    Contact Us      
Search: Search
  [Advanced Search]  
 
CAP Home CAP Advocacy CAP Reference Resources and Publications CAP Education Programs CAP Accreditation and Laboratory Improvement CAP Members
CAP Home > Case of the Month > 2010 - Case Archives > Clinical Summary: Uterus

2010 — October Case of the Month

Posted December 13, 2010

CLINICAL SUMMARY: UTERUS  

CAP Foundation October 2010 Online Case of the Month

View case with:
PC users: ImageScope
First-time use of ImageScope?
* Download (required)

Why use ImageScope?

ImageScope offers many additional features including:

• Ability to view multiple slides
  concurrently; synchronize
  panning/zooming.

• Facility to author annotations.

• Capability to run analysis
  algorithms, and display results.

• Modify image brightness,
  contrast, color balance,
  etc.

• Generally faster and more
  responsive.

MAC/PC Users: WebViewer

A 62-year-old woman presented to her gynecologist with a one-month history of pelvic pressure. Workup included a CT scan, which revealed a 10 cm pelvic mass. She underwent an exploratory laparotomy that revealed a mass involving the posterior uterine fundus. A total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. The specimen consisted of a 731 gram uterus measuring 14.0 x 11.0 x 10.0 cm that contained a well-circumscribed 9.0 x 9.0 x 7.0 cm submucosal mass involving the posterior uterine wall. This mass had a biphasic gross appearance with some areas that were white and whorled intermixed with other areas that were fleshy and light brown/cream colored. There were multifocal areas of hemorrhage but no gross evidence of necrosis. Bilateral ovaries and fallopian tubes were unremarkable.

The master list with the correct answer

  • Atypical leiomyoma
  • Endometrial stromal nodule
  • Epithelioid leiomyoma
  • Epithelioid leiomyosarcoma
  • Undifferentiated uterine sarcoma

Access Case Critique to view:

  • Appropriate diagnosis
  • Critique
  • References


Your input is valued - please submit your feedback so that we may continue to optimize this program.

 
 © 2014 College of American Pathologists. All rights reserved. | Terms and Conditions | CAP ConnectFollow Us on FacebookFollow Us on LinkedInFollow Us on TwitterFollow Us on YouTubeFollow Us on FlickrSubscribe to a CAP RSS Feed