To review cases of unusal cervical cancer at ourinstitution.

MRI is the modality of choice for the investigation and local staging of patients with suspected cervical cancer. Staging of cervical cancer is based on the International Federation of Gynecology and Obstetrics (FIGO) staging (2009) (Figure 1).1 The most common subtype of cervical cancer is squamous cell carcinoma (90%) (Figure 2) followed by adenocarcinoma (5-10%) (Figure 3).2 However other types ofmalignancy of the uterine cervix may occur and the reporting radiologist should be mindful of these unusual pathologies. In this pictorial review, we present usual...

Case 1: Lymphoma of the cervix Lymphoma of the cervix is uncommon.3 It accounts for 0.008% of all primary cervical tumours and 2% of extra-nodal lymphoma in the western world.3 Presentingsymptoms include vaginal bleeding, vaginal discharge or perineal discomfort and the treatmentchoice is chemotherapy. MRI characteristics of cervical lymphoma are non-specific and tend to resemble those of cervical carcinoma. Cervicallymphoma is typicallyhypointense on T1 weighted sequences and relatively hyperintense on T2 weighted sequences and usuallyproduces relatively homogenous signal intensity and diffuse enlargement of the cervix,...

This pictorial reviewhighlights the key imaging findings of unusual cervical malignancies of the uterinecervix.

1. Pecorelli S. Revised FIGO staging for carcinoma of the vulva, cervix, and endometrium. Int J Gynaecol Obstet. 2009;105: 103-4. 2. Miccò M, Sala E, Lakhman Y, Hricak H, Vargas HA. Imaging Features of Uncommon Gynecologic Cancers.Am J Roentgenol.2015; 205: 1346-1359. 3. Thyagarajan MS, Dobson MJ, Biswas A. Case report: appearance of uterine cervical lymphoma on MRI: a case report and review of the literature. Br J Radiol. 2004; 77: 512-5. 4. Okamoto Y, Tanaka YO, Nishida M et-al. MR imaging of the uterine cervix:...