50-year-old woman presented with abnormal uterine bleeding

Patient had a previous history of uterine bleeding which was attributed to leiomyomas for which she underwent embolization of the myomas. Endometrial biopsy was performed. The biopsy showed a high-grade sarcoma arising in the right anterior endocervix with primitive, rhabdoid and heterologous elements (cartilage), findings of immunohistochemical studies are most consistent with rhabdomyosarcoma, favor embryonal subtype.

Case submitted by Dr. Amir Momeni, SUNY Downstate Medical Center