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Papillary Serous Adenocarcinoma of the Endometrium: CT–Pathologic Correlation

I. M. Van Mieghem1, S. Gryspeerdt1, M. Baekelandt1, B. van Holsbeeck1, P. Lefere1, M. Haspeslagh2 and I. Dalle2

1 Department of Radiology, Stedelijk Ziekenhuis, Bruggesteenweg 90, Roeselare 8800, Belgium.
2 Department of Pathology, Stedelijk Ziekenhuis, Roeselare 8800, Belgium.



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  		Fig. 1A. —73-year-old woman with papillary serous adenocarcinoma of endometrium presenting with psammoma bodies. (Courtesy of Haspeslagh M, Roeselare, Belgium) Axial contrast-enhanced CT scan obtained after oral and rectal contrast administration shows hyperdense aspect of endometrium (arrows), which is caused by calcified psammoma bodies.

 


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  		Fig. 1B. —73-year-old woman with papillary serous adenocarcinoma of endometrium presenting with psammoma bodies. (Courtesy of Haspeslagh M, Roeselare, Belgium) Axial contrast-enhanced CT scan obtained after oral and rectal contrast administration shows right ovary (o), adjacent to opacified small bowel (s), and diffuse peritoneal implants, which are clearly outlined by presence of ascites (a). Calcifications (arrows), typical of psammoma bodies, are also visible.

 


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  		Fig. 1C. —73-year-old woman with papillary serous adenocarcinoma of endometrium presenting with psammoma bodies. (Courtesy of Haspeslagh M, Roeselare, Belgium) Photomicrograph of histopathologic specimen shows numerous psammoma bodies (arrows), identified as concentric calcifications, and some papillary epithelial proliferations (arrowheads) with slight nuclear atypia. (H and E, x400)

 

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