Endometrial adenocarcinoma

Case contributed by Dr Ayush Goel

Presentation

Left leg and right flank pain. Later informed about on and off vaginal bleeding.

Patient Data

Age: 65 years
Gender: Female
CT

The enhanced CT demonstrates:

  • heterogeneously enhancing mass, measuring 12.1 x 7.8 cm, with cystic component, noted in the pelvis
  • multiple enlarged para-aortic, aorto-caval, bilateral iliac nodes, largest measuring 5.6 x 4.3 cm
  • 3.5 x 3.6 cm omental deposit noted in close proximity to gall bladder
  • there is compression of the right distal ureter by the enlarged iliac nodes resulting in moderate-gross right hydroureteronephrosis
  • there is compression of bilateral iliac veins by the large iliac nodes (? partially thrombosed)
    • with thrombosis of left femoral vein
    • right femoral vein does not show any thrombus

Case Discussion

Histopathologically proven case of endometrial adenocarcinoma.

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