Presentation
Vaginal bleeding
Patient Data
Age: 65 years
Gender: Female
From the case:
Endometrial carcinoma
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- well-defined soft tissue mass occupying the endometrial cavity (52 x 33 x 45 mm - coronal x transverse x sagittal)
- no gross invasion to the myometrium
- no cervical stromal invasion although it reaches the cervix
- no serosal or parametrial extension
- no rectum or bladder invasion
- bilateral few enlarged external iliac nodes with restricted diffusion (up to 6 mm right side)
- adnexa clear
From the case:
Endometrial carcinoma
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- normal urinary bladder
- uterine cavity occupied by soft tissue mass
- adnexa clear bilaterally
- no lesion seen in the spine or pelvic bones
- no ascites
- few enlarged lymph nodes of the external iliac (up to 5 mm in short axis diameter)
From the case:
Endometrial carcinoma
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Histopathology report after hysterectomy
Case Discussion
A case of endometrial carcinoma staging demonstrated on pelvic MRI and CT in a post-menopausal woman with vaginal bleeding initially discovered on ultrasound examination and confirmed histologically by curettage.
The patient underwent a CT chest and abdomen for staging and finally, hysterectomy with bilateral salpingo-oophorectomy and external iliac lymph node dissection. The final result is:
Figo staging: IA
TNM staging: T1a N0 M0
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