患者女性,58岁。因绝经后出血有肉样物流出半年入院。超声示宫腔低回声团块。子宫内膜活检示:小细胞恶性肿瘤。择期行根治性子宫切除和广泛淋巴结清扫术。病理检查巨检:一全切子宫,8 cm×7 cm×3 cm大小,宫底部见一菜花状肿物,大小4.5 cm×4 cm×3.8 cm,病变凸向宫腔。切面灰白、灰黄色,质地不均,实性、较细腻,有明显坏死区,侵及肌壁2/3,双侧附件未见明确结节性病变。 Patient female, 58 years old. Because of postmenopausal bleeding meat-like material out of hospital for six months. Uterine ultrasound showed hypoechoic mass. Endometrial biopsy showed: small cell malignancies. Elective radical hysterectomy and extensive lymph node dissection. Pathological examination of macroscopic examination: a complete uterus, 8 cm × 7 cm × 3 cm size, the bottom of the palace to see a cauliflower-like tumor, the size of 4.5 cm × 4 cm × 3.8 cm, lesions convex to the uterine cavity. Section of gray, gray, uneven texture, solid, more delicate, with obvious necrosis, invasion and muscle wall 2/3, bilateral attachment no clear nodular lesions.