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British Journal of Radiology (2009) 82, e20-e22
© 2009 British Institute of Radiology
doi: 10.1259/bjr/75304693
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Clear cell adenocarcinoma of the uterine cervix arising from a background of cervical endometriosis

T HIROMURA, MD Y O TANAKA, MD T NISHIOKA, MD M SATOH, MD and K TOMITA, MD

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


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  		Figure 1. A 57-year-old woman with clear cell adenocarcinoma (CCA) of the uterine cervix. (a) Sagittal T2 weighted MR image showing multiple round masses extending to the pouch of Douglas. The cystic masses have solid components (black arrow), with an eccentric growth pattern that is often observed in ovarian CCA. (b) Axial fat-suppressed, T1 weighted MR image showing a hyperintense cyst (white arrow), suggesting a haemorrhagic cyst. (c) Axial T2 weighted MR image showing several well-defined round solid masses and a few cystic spaces at the cervix. The solid components are heterogeneously hyperintense. (d) Axial fat-suppressed post-gadolinium T1 weighted image showing moderate enhancement of the solid masses. (e) Near the upper margin of (d), the solid components have minute cystic portions (white arrow). (f) Photomicrograph showing tumour cells clearly margined with connective tissue. There is a cavity measuring 1.0 mm lined by endometrial glands (black arrow), indicating the presence of endometriosis. The scale bar represents 1.0 mm.

 




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