Cervical carcinoma

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Vaginal bleeding after receiving seventh sessions of chemoradiotherapy.

Patient Data

Age: 60 years
Gender: Female
mri

Barrel-shaped thickening and loss of normal low signal intensity of the cervix that invades into the upper anterior and posterior walls of the vagina and parametrium (T2B).

Multiple enhancing lymphadenopathies are seen near internal iliac chains on both sides with a maximum diameter of up to 14 x 23 mm (N1).

No distance metastasis also is noted (M0).

There is a defect at the cervix posterior wall associated with the extension of injected vagina gel into the abdominopelvic cavity.

The inspissated secretions within the endometrial cavity in the background of the infiltrated cervical mass.

Intramural myoma measuring about 18 x 20 mm along with uterus posterior wall.

Case Discussion

Known case of cervical cancer, stage IIIC1 according to the FIGO staging system and stage T2BN1M0 according to TMN staging system.

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