Endometrial carcinoma

Case contributed by Ammar Haouimi


Postmenopausal bleeding.

Patient Data

Age: 65 years
Gender: Female



The MRI sequences demonstrate an ovoid mass within the endometrial cavity of intermediate signal on T1WI, iso-to slightly hyperintense to the myometrium on T2WI with moderate and heterogeneous enhancement (less than normal endometrium) on postcontrast sequences and restricted diffusion on DWI/ADC. The deep myometrial invasion is well-visualized on the postcontrast dynamic sequence as well as the delayed-phase images with cervical stromal invasion.

Minimal effusion is noted in Douglas pouch.

No pelvic lymphadenopathy is seen.

Case Discussion

MRI features are suggestive of an endometrial tumor (probably endometrial carcinoma).

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