Современные аспекты лучевой диагностики рака шейки матки

Cervical cancer mri.

Case report.

Современные аспекты лучевой диагностики рака шейки матки

In this paper we report the case of a year-old woman, gesta 2, para 2, cervical cancer mri with a cervical cervical cancer mri vascularized mass causing vaginal bleeding two years after the delivery of her second baby at term by caesarean section.

The cervical CCA suspicion diagnosis was established based on imaging aspect - transvaginal ultrasound showing a parenchymatous area that protrudes into the cervical canal with intense peripheral vascular network and contrast-enhanced MRI describing an expansive bulky, round-oval, well defined mass with a cervical cancer mri necrotic pedicle and extensive central area of ne­crosis. The histopathological results correlated with the increased levels of βHCG suggested choriocarcinoma with large necrotic and hemorrhagic areas.

Usually, the diagnosis of a primary extrauterine CCA is difficult because of the non-specific clinical presentation that can mimic other conditions.

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Primary cervical choriocarcinoma is an extremely rare condition that should be considered in cervical cancer mri differential diagnosis of a cervical mass with profuse bleeding particularly due to intense vascularity, especially in young women.

Trachelectomy represents a therapeutic measure able to stop the bleeding in patients who wish to maintain future fertility.

Coriocarcinom primar al colului uterin mimând o sarcină cervicală

Keywords primary cervical choriocarcinoma, gestational trophoblastic neoplasia, cervical mass, vaginal bleeding Rezumat Introducere. Prezentare de caz. În această lucrare am raportat cazul unei paciente, în vârstă de 40 de ani, secundigestă, secundipară, care prezintă o formaţiune tumorală bine vascularizată la nivelul colui cervical cancer mri, cauzatoare de sângerari vaginale debutate la doi ani de la naşterea celui de-al doilea copil, prin operaţie cezariană.

Diagnosticul de cervical cancer mri de CCA cervicală a fost stabilit pe baza aspectului imagistic - ecografia transvaginală arată o masă parenchimatoasă care protruzionează în canalul cervical cu reţea vasculară periferică intensă, iar IRM cu substanţă de contrast descrie un proces expansiv voluminos, rotund-ovalar, bine definit, cu pedicul lung necrotic şi zonă centrală extinsă de necroză.

Primary choriocarcinoma of the cervix mimicking a cervical pregnancy

Rezultatele histopatologice corelate cu nivelurile crescute de βHCG au sugerat diagnosticul de coriocarcinom cu zone necrotice şi hemoragice extinse.

A fost efectuată trachelectomie urmată de cerclaj uterin abdominal, în scopul de a păstra capacitatea ulterioară a pacientei de a obţine şi păstra o viitoare sarcină până la termen.

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De obicei, diagnosticul unui CCA extrauterin primar este dificil, din cauza tabloului clinic nespecific care poate imita alte patologii. Coriocarcinomul primar al colului uterin este o condiţie extrem de rară, care ar trebui luată în considerare în diagnosticul diferenţial al unei formaţiuni de col uterin cu sângerare abundentă, în special din cauza vascularizaţiei intense, mai ales la femeile cervical cancer mri.

Trachelectomia reprezintă cervical cancer mri atitudine terapeutică în măsură să oprească sângerarea la pacientele care doresc să îşi menţină fertilitatea ulterioară.

cervical cancer mri

Cuvinte cheie coriocarcinom primar al colului uterin neoplazie trofoblastică gestaţională tumoră col uterin sângerări vaginale Introduction Gestational trophoblastic neoplasia GTN represents a generic term that includes a variety of malignant pathologies, the common link between them being the uniqueness of their cervical cancer mri, as the maternal characteristic lesions arise only from fetal tissues 1. On the other hand, the term gestational trophoblastic disease GTD describes a set of benign proliferation of the trophoblast of the placenta, including placental site nodule, exaggerated placental site, and hydatidiform mole 2.

Gestational cervical cancer mri disease GTN has an incidence of 0.

Half of the GTN appear after molar pregnancies, a quarter after ectopic pregnancies or abortions and another quarter after normal term pregnancies 4.

The period of time between the last pregnancy of any type and cervical cancer mri cancer mri appearance of CCA is described in very wide range, from a few months up to 15 years 5. Choriocarcinoma is the most aggressive, malignant form of gestational trophoblastic disease and has varying incidence, increasing in patients older than 40 years 6.

cervical cancer mri wart virus on cervix

They are associated with high levels of the beta subunit of the human chorionic gonadotropin bHCGand frequently need monochemotherapy, usually using methotrexate or actinomycin D. On the other hand, the more rare cases of PSTT and ETT express low levels of bHCG and cervical cancer mri relatively resistant to chemotherapy, multiagent treatment which combines etoposide, methotrexate, actinomycin D, cyclophosphamide and vincristine being necessary, but in these cases the first line of treatment is surgery, especially in non-metastatic cases 8.

In this paper we report the case of a year-old woman, gesta 2, para 2, presenting with a cervical well vascularized mass causing vaginal bleeding two years after the delivery of her second baby at term by cesarean cervical cancer mri.

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Case report The year-old Caucasian patient had an obstetrical history of two term deliveries by caesarean section inrespectively She presented in June at the gynecologist accusing irregular vaginal bleeding with reduced to moderate flow, after her last normal period in 20 May.

The local exam showed normal external genital organs and reduced metrorhagia with a cervical cancer mri cervical aspect at the speculum exam. The vaginal tact revealed though an enlarged cervix, with a diameter of 6 centimeters, regulated surface and reduced consistency with a normal uterine dimension and mobility and normal adnexal areas.

A transvaginal ultrasound was then performed, which described normal ovaries and at cervical cancer mri level of the uterine isthmus in the posterior uterine wall a parenchymatous area with a diameter of 5 centimeters, which hpv from warts on hands into the inferior third of the cervical cancer mri cavity and the superior cervical cavity with peripheral vascular network in direct contact with the urinary bladder.

Local experience in cervical cancer imaging: Comparison in tumour assessment between TRUS and MRI

According to the clinical examination findings and the ultrasound aspect, the diagnostic suspicion of uterine leiomyoma is raised. Magnetic resonance imaging with contrast substance is recommended in order to establish the extent and particularities of the cervical tumor.

The expansive mass pedicle shows peripheral gadolinophily, with extensive central area of necrosis and necrotic pedicle.

  • Preliminary report.
  • Coriocarcinom primar al colului uterin mimând o sarcină cervicală

It does not invade the cervical wall or the vagina, which show normal appearance. Uterine junctional zone appears continuous with normal thickness and normal hyposignal.