Cervical carcinoma - stage IV with nephrostomy insertion

Diagnosis almost certain

Citation, DOI, disclosures and case data

Citation:

Alshammari M, Cervical carcinoma - stage IV with nephrostomy insertion. Case study, Radiopaedia.org (Accessed on 02 Oct 2023) https://doi.org/10.53347/rID-16520

DOI:

https://doi.org/10.53347/rID-16520

Permalink:

https://radiopaedia.org/cases/16520?iframe=true

rID:

16520

Disclosures:

At the time the case was submitted for publication Mohammed Alshammari had no recorded disclosures.

View Mohammed Alshammari's current disclosures

Case published:

24 Jan 2012

Revisions:

25 times, by 4 contributors - see full revision history and disclosures

Systems:

Interventional, Gynaecology, Oncology

Quiz mode:

Included

Presentation

Investigation for vaginal bleeding.

Patient Data

Age: 45 years

Gender: Female

From the case: Cervical carcinoma - stage IV with nephrostomy insertion

mri

Images demonstrate a locally advanced cervical cancer (stage IV) involving anterior lower rectum with tumor approaching the urethra but without definite urethral invasion.

Obstruction of both lower ureters results in bilateral hydronephrosis, though there is still good enhancement of both kidneys.

There is no distant metastatic disease.

10 case questions available

Q: What is the main abnormality ? show answer

Q: What additional abnormality is present within the uterus ? show answer

Q: What extra uterine abnormality is seen ? show answer

Q: How is cervical carcinoma staged? show answer

Q: What are the pitfalls in reporting MRI in cases of cervical carcinoma? show answer

Q: How is the management of the patient determined by the stage of the tumour? show answer

Q: What is worse in terms of staging ? - causing obstructive uropathy or rectal invasion ? show answer

Q: What is the significance of obstructive uropathy alone on staging of the disease ? show answer

Q: What is the significance of rectal invasion alone on staging of the disease ? show answer

Q: What is the commonest histological sub type of carcinoma of the cervix ? show answer

From the case: Cervical carcinoma - stage IV with nephrostomy insertion

Fluoroscopy

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Bilateral percutaneous nephrostomy tubes under ultrasound and fluoroscopic guidance.

1 case question available

Case Discussion

See articles on

2 articles feature images from this case

39 public playlists include this case

GU Quiz 1 by Lukevalentine
GD: O&G - Gynaecology by Gurjeet Dulku
Gynaecology Viva 7 by Babawale S. Niyi
FRCR 2B 29/09/2020 by Hunain Shiwani
Gynae 2B by Horea Craciun
HD&GL1 by Hung Dang
Gynecology by abdallah abu younes
Gyne&GenitalMasc by Popovici Alexandra
GUT by Dr Angel Mthalane
Cervical Cancer: US CT MRI by Stephen Sinnott
UG Female by Cary MacMillan
Abnormal bleeding clinical aspects: MRI by Stephen Sinnott
Body mri by N Seth
BC O&G VIVA by Bridgid
Obs Gyn MR by Michael Kreltszheim
Genitourinary FRCR 2B by Dr Feras Salhi
GU 2b by Marwa Elsayed Ibrahim
Gynae viva MRI 2 by Babawale S. Niyi
nezar GU by nezar shlaka
Pathology VIVAs by Chris Newman
Ob-Gyn by AP
GU by Mohamed Ibrahim
Prüfung 22.02.2022 by Bernhard
Frcr viva 111 by [email protected]
Report writing 6 by Emel Allan ◉
Abdominal by Robert Ligetfalvi
Certificate: 4b_010 Cervical Cancer by RAB Four
gut by Shravya Chrissina
Genitourinary FRCR 2B by Dr Feras Salhi
female pelvis by Stefan Teodoru-Saman
Viva by yu faye yu
Obs viva 11.10/22 by Nik M H Nik Hussin ◉
Viva JP by Tamer Ghorab
nezar GU by nezar shlaka
gyneco by Sharbell Hashoul
o n g by Navtej Singh Chhibber
Revision - Gynae - by Aman Sandhu
gynae 2B by Hannah Morley
Uterine cervix by Mohamed shweel ◉