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British Journal of Radiology 75 (2002),772-774 © 2002 The British Institute of Radiology

Case report

Primary osteosarcoma of the uterus with peritoneal osteosarcomatosis: CT features

J-W Lin, MD 1 S-F Ko, MD 2 S-H Ng, MD 2 H-L Eng, MD 1 C-C Changchien, MD 3 and C-C Huang, MD 1

Department of 1 Pathology, 2 Radiology and 3 Obstetrics and Gynecology, Chang Gung University, Chang Gung Memorial Hospital, Kaohsiung, Taiwan

Correspondence: S-F Ko, MD, Department of Radiology, Chang Gung Memorial Hospital at Kaohsiung, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien, 833, Taiwan

A 67-year-old woman presented with lower abdominal pain for 1 month. Pelvic ultrasound revealed a calcified uterine mass and ascites. CT showed a heavily calcified uterine tumour, with ascites and disseminated calcified nodules in the peritoneum. Microscopic and immunohistochemical studies demonstrated features typical of osteosarcoma without any epithelial differentiation. Although rare, uterine osteosarcoma with associated peritoneal osteosarcomatosis should be included in the differential diagnosis of an elderly woman with a calcified uterine mass and disseminated peritoneal calcifications.






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