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A 50-year-old woman presented with a very hard goose-egg size bulky mass of the uterine cervix, involving the uterine corpus and vaginal wall. Histology specimens were obtained via needle biopsies of the cervix. Review the high-quality, interactive digital Aperio slides at http://virtualacp.com/JCPCases/jclinpath-2019-206144_A and http://virtualacp.com/JCPCases/jclinpath-2019-206144_B and consider your diagnosis. What is your diagnosis?
What is your diagnosis?
Soft tissue sarcoma
Spindle cell carcinoma
A spindle cell variant of diffuse large B-cell lymphoma (DLBCL)
Spindle cell melanoma
The correct answer is after the discussion.
The adnexa was the most common site (56%) of primary genital tract lymphoma, followed by the corpus (15%) then the cervix (11%). …
Handling editor Iskander Chaudhry.
Contributors HN wrote the manuscript with support from HM, MK and SK. JI, SK and S-iN helped supervise the project.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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