Papillary serous carcinoma of the cervix, ultrasonographic findings

Background: Papillary serous carcinoma of the uterine cervix is a rare mali gnancy only recently described. Optimal treatment is unknown. Case Report: A 65 year old white female, approximately 15 years postmenopau sal, presented with a recent history of postmenopausal bleeding. Cervical c ytology was negative for any abnormalities. Ultrasonography of the pelvis r evealed a thickened anterior endometrium with fluid present along with a pa pillary mass in the endocervix. Hysteroscopy: dilatation and curettage reve aled a low uterine segment mass consistent with a pathologic diagnosis of g rade 2 endometrioid adenocarcinoma of the endometrium. A total abdominal hy sterectomy, bilateral salpingo-oophorectomy and bilateral pelvic and paraao rtic lymphadenectomy revealed a papillary serous carcinoma of the cervix me tastatic to pelvic and paraaortic lymph nodes. Conclusion: Cervical papillary serous carcinoma can be discovered pre-opera tively by ultrasonography. Because of its relatively recent description and relative rarity, optimal treatment is unknown.