Squamous cell carcinoma of the cervix uteri

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Painless vaginal bleeding

Patient Data

Age: 40 years
Gender: Female

A large mass infiltrates the cervix uteri and shows heterogeneous enhancement due to internal necrotic components. Mild surrounding fat stranding is observed, but no sign of local invasion of adjacent structures. A few enlarged lymph nodes are evident in the para iliac regions on the right side.

A small nodule in the right adrenal gland shows rapid contrast washout, most consistent with benign adenoma. 

The gallbladder is not seen due to prior resection.

A nasogastric tube is inserted, and the distal end is located within the gastric antrum. 

Case Discussion

Large cervix uteri mass; pathology proved squamous cell carcinoma, the most common histological subtype of cervical cancer and accounted for 80-90% of cases.

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