Superficial endometrial spread of squamous cell cervical carcinoma: A diagnostic challenge at magnetic resonance imaging

Felix Adler, Joseph T. Rabban, Benjamin M. Yeh, Aliya Qayyum, Lee May Chen, Fergus V. Coakley

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

The magnetic resonance imaging findings in a case of superficial endometrial spread of squamous cervical carcinoma are presented. Early enhancement of a relatively small cervical mass was associated with a fluid-distended endometrial cavity. An irregular layer of early-enhancing tumor was seen lining the endometrial cavity. Histopathologic examination confirmed the presence of an invasive squamous cell carcinoma of the cervix that superficially spread into the lower uterine segment and endometrial cavity, replacing most of the endometrial lining as a layer of tumor. The tumor also deeply invaded the myometrium in a permeative fashion throughout the bulk of the uterine body. Failure to appreciate the cervical abnormality might have resulted in an imaging diagnosis of endometrial carcinoma. We report this challenging case to broaden the described spectrum of magnetic resonance imaging findings in cervical carcinoma, because recognition of this unusual pattern of tumor spread may facilitate correct radiological interpretation.

Original languageEnglish (US)
Pages (from-to)247-250
Number of pages4
JournalJournal of Computer Assisted Tomography
Volume31
Issue number2
DOIs
StatePublished - Mar 1 2007

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Keywords

  • Cervix
  • Endometrium
  • Magnetic resonance imaging
  • Neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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