Presentation
Postmenopausal bleeding.
Patient Data
Age: 70 years
Gender: Female
From the case:
Endometrial carcinoma - FIGO stage 1a
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Enlarged uterus measuring about 60*75*100 mm.
There is a 20*35*50 mm sized mass lesion (T1 and T2 intermediate signal) distending the endometrial cavity. Furthermore, it appears to invade less than 50 percent of the myometrium. However, the outer band of the myometrium is continuous.
Restriction seen on ADC/DWI images.
No extension into the cervix or beyond the uterus.
No bladder / rectal involvement.
No suspicious lymph nodes.
No focal adnexal lesions seen.
Nabothian cysts up to 7mm at uterine cervix anterior and posterior walls.
No free fluid is seen.
From the case:
Endometrial carcinoma - FIGO stage 1a
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Endometrial adenocarcinoma, well differentiated.
Case Discussion
This is a proven case of FIGO stage 1a endometrial adenocarcinoma.
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