Type:
Educational Exhibit
Keywords:
Neoplasia, Education, MR, Genital / Reproductive system female
Authors:
A. Fawkes, E. MURTAGH, A. Grey; Belfast/UK
DOI:
10.1594/ecr2018/C-2485
Background
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 of malignancy of the uterine cervix may occur and the reporting radiologist should be mindful of these unusual pathologies.
In this pictorial review,
we present usual cases of malignancy occurring in the uterine cervix including lymphoma,
Ewings sarcoma,
clear cell carcinoma,
myeloid sarcoma,
leiomyosarcoma,
primary rectal carcinoma fistulating into the cervix and cervical metastases.
An usual case of pelvic sidewall recurrence is also discussed. The imaging findings of each case are presented to determine whether any characteristic appearances are demonstrated.