MEETING No.41, APRIL 10th, 2002, FATEBENEFRATELLI HOSPITAL, MILANO

Case 1
Case 2
Case 3
Case 4
Case 5
Case 6

Case 1


"A MASS IN THE UTERINE SEPTUM IN A UTERUS BICORNIS"
M. SIRONI - Garbagnate Hospital
(pictures by dr. Faravelli)

Clinical history: a 59y.o. woman, who is in follow-up for a melanoma excised four years before, undergoes hysterectomy for prolapse and fibromatosis of the uterus.
During the operation the surgeon find a uterus bicornis with a large, 12 cm mass,uterine septum.
Microscopical description: the mass consists of small, spindle cells arranged in fascicles and sometimes in nests (pict. 1), which disorderly infiltrate the myometrium (pict. 2 - pict. 3 - pict. 4).
The neoplastic cells are strongly positive with CD10 (pict. 5).
Further macroscopical sections show more atypical areas with osteosarcoma and chondrosarcoma-like features (pict. 6 - pict. 7 - pict. 8 - pict. 9).

Diagnosis

pict. 1	pict. 2
pict. 3	pict. 4
pict. 5	pict. 6
pict. 7	pict. 8
pict. 9

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