Cervical stump squamous cell carcinoma
Vaginal discharge - post hysterectomy
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- Pelvic images demonstrate a large mass involving the cervical stump, with the following characteristics:
- Interruption of the T2 hypointense stromal ring
- Invasion of the right posterior UB wall
- Right pelvic side wall invasion manifested by right hydronephrosis
- Involvement of the whole vaginal canal
- Enlarged right deep pelvic lymph node with cystic degeneration.
- Images of the upper abdomen lower chest show multiple hepatic pulmonary deposits.
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 side wall 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.