Presentation
Pelvic pain, vaginal bleeding
Patient Data
The normal T2 weighted hypointense signal of anterior and posterior cervical wall is replaced with a solid T2 hyperintense lesion that shows diffusion restriction.
The mass has irregular, lobulated shape and circumferential thickening of the cervical wall. It extends upward to the uterine body and downwards to upper half of the vagina. It also extends into the parametrium which is best seen on post contrast fat-sat axial images. A plane between the mass and the bladder wall is preserved, although it may invade the anterior wall of the rectum.
There are also multiple sub 5 mm paracervical lymph nodes, with restriction on DWI images suggestive for regional metastatic nodes.
There is central signal loss in all of images which is concordant with air gap in cervical cavity.
Case Discussion
Stage IIIC1 cervical cancer according to FIGO system staging. Histopathological results not available.
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