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Clear cell adenocarcinoma of the uterine cervix arising from a background of cervical endometriosis

Department of Radiology, NTT East Corp. Sapporo Hospital, Sapporo 060-0061, 2Department of Radiology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki 305-8575, 3Division of Radiological Technology, Department of Health Sciences, University of Hokkaido, Sapporo 060-0812, 4Department of Pathology, NTT East Corp. Sapporo Hospital, Sapporo 060-0061 and 5Department of Internal Medicine, NTT East Corp. Sapporo Hospital, Sapporo 060-0061, Japan

Correspondence: Tadao Hiromura, Department of Radiology, NTT East Corp. Sapporo Hospital, Sapporo 060-0061, Japan. E-mail: thrmr{at}amber.plala.or.jp

The radiological findings of cervical clear cell adenocarcinoma (CCA) have not been described previously. Here, we present MR findings of this neoplasm that included mixed solid and cystic components with eccentric solid components. These are similar to the MR features of ovarian CCA. Endometriosis was also noted in the uterine cervix. Coexistence of CCA and endometriosis at the cervix suggests that the pathogenesis may be similar to that of ovarian CCA.