Verrucous carcinoma of the endometrium. A case report

Curettage of a sixty-four-year-old white woman with post-menopausal metrorrhagia revealed pyometra and squamous papilloma, thought to be arising from the cervix. Presence of parakeratotic squamous epithelial cells in endometrial curettage, three years after the first clinical presentation, aroused suspicion of verrucous carcinoma of the endometrium. Uterus revealed a warty tumour with a histological picture characteristic of verrucous carcinoma. Radical surgical excision was followed by a disease-free observation period of 2 1/2 years.