Endometrial adenocarcinoma

Case contributed by Dr Sigmund Stuppner

Presentation

Woman with intermittent menometrorrhagia.

Patient Data

Age: 53
Gender: Female
MRI

See below. 

Additional findings are three uterine myofibromas with typical low signal in T2 and Naboth cysts in the cervix uteri.

Case Discussion

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).

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Case information

rID: 40714
Case created: 31st Oct 2015
Last edited: 4th Nov 2015
System: Gynaecology
Tag: uterus
Inclusion in quiz mode: Included

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