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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.
