Cervical carcinoma - stage IIIC1

Case contributed by Bahman Rasuli
Diagnosis almost certain


Intermittent painless vaginal bleeding.

Patient Data

Age: 45 years
Gender: Female

A huge T2 intermediate signal intensity bulky circumferential cervical mass lesion with marked water restriction shows the following:

  • size: 5 x 9 x 9.5 cm 
  • parametrial infiltration with small focal disruptions of the normal low T2 cervical rim
  • the lesion is filling and markedly expanding the upper two-thirds of the vagina; intact lower third vagina
  • no extension into the pelvic sidewalls
  • no ureteric infiltration nor hydronephrosis
  • no infiltration of the mesorectal fascia 
  • spared urinary bladder 
  • few enlarged bilateral internal iliac chains regional lymph nodes with diffusion restriction suggestive of metastatic nodes; the largest reaching 22 mm in short axis with a necrotic center on the right side
  • uterus few small intramural myomas with maximum diameters up to 20mm
  • uterus endometrial cavity mass with intermediate signal intensity measuring about 15 x 30 mm inferring endometrial polyp (confirmed on US exam)
  • fluid equivalent signal cystic lesions measuring about 45 x 60 mm and 40 x 55 mm at the left and right ovaries respectively
  • normal marrow signal pattern of the pelvic bones
  • no distance metastasis

Case Discussion

Stage IIIC1 of cervical cancer is considered according to FIGO system staging. The histopathology report after biopsy of cervical mass: squamous cell carcinoma of the cervix.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.