Introduction/Background A 39 year old female presented with irregular, heavy vaginal bleeding and associated vaginal discharge for 3 months. She had an endometrial biopsy done that was reported as endometrioid adenocarcinoma. Imaging showed a bulky, predominantly cervical tumor with parametrial infiltration and enlarged bilateral pelvic side wall lymph nodes. There was an enlarged supraclavicular lymph node that was evaluated by fine need aspiration cytology and reported to have no malignant cells. She was planned for neoadjuvant chemotherapy followed by surgical assessment.

Methodology She underwent total laparoscopic hysterectomy with bilateral salpingoopherectomy and bilateral pelvic lymph node dissection. Intraoperatively the cervix was found to be completely obliterated by the tumor with bilateral parametrial involvement and enlarged pelvic side wall lymph nodes.

Results Final histopathology was reported as endometrioid adenocarcinoma stage III C1.

Conclusion The patient was doing well on follow up and is planned for adjuvant therapy.

Disclosures No disclosures.