Recurrent vulvar cancer with probable spread to rectum. PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Prominent right external iliac lymph node, not pathologically enlarged by size criteria.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: 3.9 x 1.8 cm soft tissue mass in the perineal region at the vaginal introitus (axial series 1201, image 88) (sagittal series 601, image 25). This mass abuts the anterior wall of the anus with questionable extension along the left lateral wall. There is obliteration of the fat planes between the vagina and anus suspicious for bowel wall invasion. There is no bowel obstruction.
Perineal soft tissue mass at the vaginal introitus with findings suspicious for bowel wall invasion of the anus