CARCINOMA OF CERVIX AND PYOMETRA
A woman aged 72 gave a history of sudden vaginal bleeding 2 weeks previously. A similar episode 9 years before had been followed by curettage and squamous cell carcinoma had been reported. Treatment at that time is not recorded. An abdominal hysterectomy was performed during the second admission. Post-operative recovery was satisfactory.
The specimen is a uterus, sliced coronally and mounted to display the cut surface. The uterine cavity is extremely enlarged, measuring 8 cm in transverse diameter and is lined by a thin traveculated yellow layer. There is considerable reduction in the thickness of the uterine wall. The cervix is obstructed by pale yellow tumour which extends into the lower uterine body. On initial examination the uterus was filled with blood-stained purulent material. This is an example of squamous cell carcinoma of the cervix with pyometra.