48 year old woman with a history of Hodgkins disease successfully treated with radiation therapy. Surveillance followup imaging (chest CT) revealed a 8 mm subpleural nodule in her right lower lobe. She was also noted to have a large fibroid uterus confirmed on pelvic ultrasound. Repeat chest CT revealed increase in size of her pulmonary nodules. She underwent a right lower lobe wedge resection. Pulmonary nodule biopsy revealed fibroblastic sarcoma. She had a pelvic CT scan that showed a 18 com mass in the cervix extending to soft tissues. Subsequently she underwent 6 cycles of chemotherapy followed by hysterectomy with bilateral adnexectomy.

The cervix was distorted and enlarged by a 14 cm tumor with relatively well defined margins that was extending to the surrounding soft tissues. On sectioning the tumor had a white to yellow rubbery cut surface with areas of necrosis