Serous Papillary Endometrial Carcinoma, Lower Uterine Segment: An Unusual Occurence

The majority of Endometrial Carcinomas (EC) is type 1 endometrioid type followed by rare type 2 serous papillary type. Serous papillary EC is a rare but highly aggressive form of uterine endometrial cancer. This is a case of a postmenopausal 57-year-old patient who presented with abnormal uterine bleeding without a specific medical history. Endometrial curettings were taken followed by total abdominal hysterectomy. Histopathology showed serous papillary EC associated with rare features such as unusual site and not invading endocervical mucosa, with accompanying myometritis and senile cystic atrophy of endometrium.