Woman with intermittent menometrorrhagia.
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Additional findings are three uterine myofibromas with typical low signal in T2 and Naboth cysts in the cervix uteri.
The endometrial carcinoma in this case has no significant infiltration of the myometrium , not above 50%. That means that the carcinoma of the endometrium is confined to the uterus with no or < ½ myometrial invasion. These findings are compatible with a FIGO (2009)-STAGING of IA.
The endometrial carcinoma is one of the most common gynaecological malignancy. So the imaging has an important impact for the clinical gynaecologist and oncologist to decide the best therapy.
In this case the patient was treated with laparoscopic hysterectomy and bilateral salpingo-oophorectomy. The histopathological findings after surgery confirmed an endometrial adenocarcinoma, endometrioid type, with less than half of myometrium infiltration ( pT1a NX MX G2 R0 V0 L1).
- FIGO Staging System for Endometrial Cancer: Added Benefits of MR Imaging Peter Beddy, FFRRCSI, FRCR, Ailbhe C. O'Neill, MB, BCh, Adam K. Yamamoto, MB, BS, MRCP, Helen C. Addley, MRCP, FRCR, Caroline Reinhold, MD, MSc, and Evis Sala, MD, PhD, FRCR