A 40-year-old female presented with complaints of vaginal bleeding and was prescribed oral contraceptives. The vaginal bleeding continued. At the time of laparoscopy, there was studding of the peritoneum and omentum with multiple tumor nodules suspicious for carcinomatosis. At the time of definitive surgery, the uterus, ovaries, tubes, omentum, and peritoneum were removed. The uterus had several intramural leiomyomas. Histologically, the uterine tumors looked the same as the omental tumors.
Gary Keeney, M.D. Chair, Division of Anatomic Pathology Consultant, Division of Anatomic Pathology Mayo Clinic Associate Professor of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine