79-year-old woman with history of endometrioid adenocarcinoma with sarcomatoid transformation status post radiation. PELVIS:UTERUS, ADNEXA: Previously seen enhancing, lobulated endometrial mass involving the lower uterine segment has now significantly increased in size measuring up to 82 x 50 mm (601/22), previously 71 mm. Of note, the tumor now extends into the upper vagina (601/21) and extends around the anterior mucosal surface of the uterine body (601/22). The tumor also extends through the wall of the uterus and abuts the serosal surface. The amount of endometrial fluid has increased with fluid fluid layer suggestive of hemorrhagic contents.Multiple fibroids of varying size are noted in the uterine fundus and body.BLADDER: The bladder does not appear involved by the endometrial tumor.LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Significant increase in size of endometrial tumor with extension into the upper vagina and to the anterior uterine body.2.No definite evidence of extraserosal extension or regional lymphadenopathy.