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Atlas Interpretation:
Interpreted image
Type of Preparation:
Conventional

Magnification:
High

Clinical History:
42 year old perimenopausal woman presents with irregular bleeding and an enlarged uterus

Interpretation:
Other Malignant Neoplasms: Sarcoma

Cytomorphologic Criteria:
This single giant cells with malignant nuclear features is present in a bloody background.

Explanatory Notes:
Uterine sarcomas exfoliate scant cellular material in cervical cytology samples. Although malignant giant cells may be seen in high grade carcinomas, their association with a spindle cell component point towards a sarcomatous differentiation. The differential diagnosis may include choriocarcinoma.

Follow-up:
High grade sarcoma (hysterectomy)


See Also: thumbnail for figure Misc-tiss-st4.jpg
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