68-year-old female with grade 2 endometrioid adenocarcinoma on endometrial/cervix biopsy now with pelvic pain and bleeding. PELVIS:UTERUS, ADNEXA: There is a large circumferential mass in the lower uterine segment/cervix measuring 6.5 x 6.2 x 5.8 cm. Fluid distends the endometrial canal. The lesion appears to extend beyond the cervix and involve the parametrium, more convincingly on the left, without involvement of the pelvic sidewall. There is mild indistinctness of the right perimetrium (5/34). The mass abuts and obliterates the fat plane between the uterus and bladder and uterus and rectum although there is no evidence of gross invasion.BLADDER: No significant abnormality noted.LYMPH NODES: Small scattered pelvic lymph nodes are noted, nonspecific. There is a 7 mm lymph node along the right external iliac chain.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large circumferential mass in the lower uterine segment/cervix with parametrial invasion as described above. Small scattered lymph pelvic lymph nodes.