Recurrence of unclassifiable uterine cancer after modified laparoscopic hysterectomy with morcellation

In a premenopausal patient with a 1-year history of abnormal bleeding laparoscopic supracervical hysterectomy in combination with vaginal intrafascial cylindriform enucleation of the cervix was performed. Histologic evaluation of the morcellated uterus was unremarkable. Five months later the patient was diagnosed with a pelvic mass consistent with an undifferentiated adenocarcinoma. Retrospective evaluation of the cored and morcellated hysterectomy specimen showed clusters of malignant cells that may have been detected by preoperative curettage.