Pathology
Gross pathology
This total abdominal hysterectomy and bilateral oophorectomy specimen is demonstrated in standard anatomic position, with the right adnexa on the left side of the image.
The right ovary is replaced by a Brenner tumour.
The left ovary by a mucinous cystadenoma.
The cervical tumour is a non-keratinizing squamous carcinoma.
This case presented de novo in the middle of the night with profuse, bright red, "arterial-type" bleeding, which necessitated an emergency hysterectomy. Therefore, this is a rare "virgin" case of invasive cervical cancer, with no preoperative irradiation.