Presentation
Postmenopausal bleeding.
Patient Data
Age: 60 years
Gender: Female
From the case:
Endometrial carcinoma
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- 30 x 35 x 40 mm tumoral mass lesion in the uterus lower segment with cervical invasion and deep myometrial extension to the outer surface of posterior myometrium to the sigmoid colon and mid rectum
- two solid mass lesions measuring about 40 x 50 mm and 60 x 90 mm at the right and left adnexa respectively
- multiple infiltrated lymphadenopathy in both iliac chains, the largest one measuring about 17 x 32 mm in the left common iliac chain
- nodularity and infiltration of omentum
- intact bladder wall and bilateral ureter
From the case:
Endometrial carcinoma
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Endometrial carcinoma, endometrioid type with squamous differentiation.
Case Discussion
Advanced endometrial carcinoma with invasion to the cervix, both adnexa, rectosigmoid loops, and omentum compatible with endometrial carcinoma stage IV.
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