Sqamous cell carcinoma of cervix

Case contributed by Dr Ahmed Abd Rabou

Presentation

yellowish vaginal discharge with recurrent attacks of bleeding

Patient Data

Age: 50 years old
Gender: Female

Irregular circumferential thickening of the cervical wall extends downward to involve the vagina with infiltration of the parametrium and few left side pelvic lymphadenopathies. There is also infiltration of the posterior wall of the urinary bladder and dilatation of the left ureter and hydronephrosis. The left kidney shows nephropathic changes.

Diagnosis: Cervical squamous cell carcinoma (pathology proved) T4N1M0 or FIGO IVa

Annotated image

T1 post contrast fat suppression images for better staging of cancer cervix

Case Discussion

Cancer cervix staging is better assessed by MRI. With its superior tissue contrast, fat suppressed post contrast T1 weighted images can accurately demonstrate the parametrial, vaginal and pelvic wall invasion as well as the lymphadenopathies and ureteric involvement.

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Case information

rID: 29012
Case created: 26th Apr 2014
Last edited: 14th Mar 2016
System: Gynaecology
Inclusion in quiz mode: Included

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