Presentation
Pelvic pain and abnormal vaginal bleeding.
Patient Data
There is a large (8 x 5 x 4 cm) enhancing endometrial lesion obliterating the endometrial canal, invading the myometrium showing heterogeneous enhancement and diffusion restriction. The lesion is reaching the uterine cervix region. No extension of the lesion is seen beyond the myometrium to the pelvis.
Enlarged left external iliac chain lymph node showing diffusion restriction measuring 7 mm in short diameter. Enlarged right external iliac chain lymph node showing diffusion restriction measuring 7 mm in short diameter.
Adnexa is unremarkable. There is no free fluid in the cul-de-sac of Douglas.
Case Discussion
The features are suggestive of endometrial carcinoma: FIGO stage IIIc1.
Histopathology reported: Endometrial adenocarcinoma (endometroid type).
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