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7888 Gynaecology & Obstetrics

A 55-year-old nulliparous black woman has a large, fungating tumor projecting from her cervix. A biopsy reveals a background of spindle-shaped cells with over 10 mitoses HPF. Many of the mitoses have abnormal mitotic spindles. The patient most likely has a

ASarcomatous transformation of a uterine leio myoma
BMalignant mixed mullerian tumor
CWell-differentiated endometrial carcinoma
DWell-differentiated cervical carcinoma (Correct Answer)