PRIMARY TUMOUR:
Large infiltrative circumferential soft tissue mass replaces the uterine cervix with marked diffusion restriction.
Dimensions: 82 x 65 x 52 mm, Axials x SI, volume 140-150 cc.
There is invasion of the lower uterine segment circumferentially with complete secondary obstruction, endometrial cavity distended by simple fluid. Large volume bilateral parametrial invasion. Lower 1/3 of vagina is involved anteriorly on the left.
Marked hydronephrosis on the left, with circumferential encasement of the distal left ureter. Tumour abuts the distal right ureter with at least 90 degrees contact causing very mild right hydronephrosis.
Pelvis sidewall invasion is present on the left encasing the left internal iliac vessels, and tumour abutting but not invading the left obturator internus and left levator ani inferiorly.
Macroscopic bladder invasion from the dome of the urinary bladder superiorly posteriorly along the posterior wall to the bladder neck with urethral invasion just distal to the bladder neck between 3 o'clock and 6 o'clock. Tumour abuts but does not invade the rectum posteriorly.
REGIONAL NODES: Three suspicious pelvic nodes bilaterally. Two anterior left internal iliac nodes measuring 18 m and 19 mm in short axis with central cystic necrosis. Distal right common iliac node.
METASTASES: 28 mm osseous metastasis within the left acetabulum posteriorly.