Abstract
A 44-year-old woman was admitted to our hospital with a 1-month history of dyspnea, abdominal bloating, and genital bleeding. Computed tomography showed bilateral pleural effusions, ascites, and a huge pelvic tumor (Figure 1). Cytologic examination of both the pleural effusions and the ascites was negative for malignant cells, and histologic examination of a transvaginal biopsy of the endometrium revealed serous adenocarcinoma.
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