Endometrioid adenocarcinoma of the endometrium

Case contributed by Ammar Haouimi
Diagnosis almost certain


Vaginal bleeding.

Patient Data

Age: 70 years
Gender: Female

Enlarged anteverted anteflexed uterus with an endometrial mass enlarging the endometrial cavity isointense to slightly hypointense to the myometrium on T1, hyperintense on T2 with restricted diffusion and moderate heterogeneous enhancement on postcontrast sequences. No evidence of myometrial invasion. No pelvic lymphadenopathy or peritoneal effusion is seen. Small Nabothian cyst is noted.

Anterolisthesis of 4 on L5 secondary to bilateral pars defects.

Small vertebral hemangiomas of L5, S3 and S4.

Case Discussion

MRI features of an endometrial mass with no apparent myometrial invasion, histologically proven as endometrioid adenocarcinoma which is considered the most common histological subtype of endometrial carcinoma (85-90% of cases). It has a slow progression with a relatively good prognosis.

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