Presentation
Metrorrhagia.
Patient Data
There is a lobulated soft tissue mass (11 x 7 x 5 cm) centered on the uterine cervix, invading the upper 2/3 of vagina and parametrium. It displays an isosignal to the myometrium on T1, slight high signal on T2 with a heterogeneous enhancement on postcontrast sequences with restricted diffusion. The tumor invades the posterior wall of the urinary bladder well-visualized on T2 and postcontrast sequences. Posteriorly, there is an extension to the mesorectal fascia and perirectal fat with a small left pararectal lymphadenopathy and indistinct limits with the anterior wall of the rectum. Bilateral pelvic lymphadenopathies are noted.
No para-aortic lymphadenopathy or distant metastases on CT (not shown).
Case Discussion
MRI features of a cervical cancer FIGO IVA, pathologically proven as a cervical squamous cell carcinoma, which is considered the most common histological subtype of cervical cancer (80-90% of cases).
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