Cervical stump squamous cell carcinoma

Case contributed by Dr Heba Abdelmonem

Presentation

Vaginal discharge - post hysterectomy

Patient Data

Age: 60 years
Gender: Female

Pelvic images demonstrate a large mass involving the cervical stump, with the following characteristics:

  1. Interruption of the T2 hypointense stromal ring
  2. Invasion of the right posterior UB wall
  3. Right pelvic sidewall invasion manifested by right hydronephrosis
  4. Involvement of the whole vaginal canal
  5. Enlarged right deep pelvic lymph node with cystic degeneration.

Images of the upper abdomen lower chest show multiple hepatic and pulmonary deposits.

Case Discussion

60 year old female patient describes offensive vaginal discharge following hysterectomy (10 years ago) due to a multi-fibroid uterus. MRI of the abdomen and pelvis demonstrated a cervical stump mass with parametrial invasion, pelvic sidewall invasion, right posterior urinary bladder wall invasion, enlarged right deep pelvic lymph nodes as well as multiple hepatic and pulmonary deposits.

The mass was pathologically proven to be squamous cell carcinoma of the cervix.

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