Presentation
Vaginal bleeding.
Patient Data
Barrel-shaped thickening and loss of normal low signal intensity of the cervix that extends into the uterus lower segment, upper vagina, parametrium, and posterior wall of the cervix with close contact with mesorectal fascia are seen (T2B).
Endometrial thickness in midline position measuring about 10 mm could be due to uterus outlet obstruction.
No evidence of pelvic and/or paraaortic lymphadenopathy.
Uterus measuring about 35*55*89 mm and shows heterogeneous signal intensity.
Intramural myoma with subserosal extension measuring about 46 x 55 x 65 mm along with the uterus fundus and body on the left side (Figo 5).
Few intramural myomas with maximum diameters up to 12 mm also are seen (Figo 4).
Case Discussion
Regarding the imaging findings, cervical cancer, stage IIB according to the FIGO staging system and confirmed on histopathological examination (squamous cell carcinoma, keratinizing type, moderately differentiated).