SQUAMOUS-CELL CARCINOMA INSITU OF THE ENDOMETRIUM AS SUPERFICIAL EXTENSION OF CERVICAL-CARCINOMA

Squamous cell carcinomas of the endometrium, either primary or seconda ry extending from the cervix, are rare. We report a 52-year-old woman with squamous cell carcinoma in situ of the cervix associated with squ amous cell carcinoma in situ of the endometrium. The patient had recei ved pelvic cobalt therapy 10 years earlier. She presented to the hospi tal with discomfort in the lower abdomen. Examination revealed vaginal stenosis and pyometra. After cervical cytology and a biopsy showing s quamous cell carcinoma in situ, a wide abdominal hysterectomy with bil ateral salpingo-oophorectomy (Wertheim modification) was performed. Th e unusual presentation of cervical carcinoma with a history of previou s radiation treatment suggests the need for performing more cytologic and histologic studies on these patients, because of the risk of devel oping a secondary malignancy.