At autopsy, the patient was found to have disseminated carcinoma. The largest lesion, a 5.5 cm subareolar irregular, stellate, whitish, firm, centrally hemorrhagic mass involved the left breast. Both lungs demonstrated pleural and parenchymal tumor nodules. A 4.5 cm, centrally necrotic tumor nodule was seen in the uterine myometrium. Both ovaries also contained tumor nodules. The liver was another site of metastatic carcinoma. Other sites of metastases included the diaphragm, the dura mater overlying the brain, the pericardium, the internal chest wall, and the intestinal serosa. The vertebral spine was not removed.