Presentation
Abnormal uterine bleeding.
Patient Data
Uterus shows heterogeneous signal intensity measuring about 54*60*88 mm
There is a 5.2 * 5.6 * 6.4 cm (Vol – 92 cc) sized mass lesion (T1 low and T2 hyperintense) with water restriction distending the endometrial cavity
Furthermore, it appears to invade more than 50 percent of the myometrium, however, the outer band of the myometrium is continuous.
No extension into the cervix or beyond the uterus
No bladder / rectal involvement
No focal lesions and suspicious lymphadenopathy
No free fluid
Both ovaries show atrophic changes.
Case Discussion
Regarding the imaging findings, endometrioid adenocarcinoma stage Ib (invasion equal to or more than half of the myometrium) according to the FIGO staging system should be considered.
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