Presentation
Vaginal bleeding.
Patient Data
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.