24-year-old with locally diagnosed endometrial cancer. Assess extent of disease. EPIC Note: Dilation and curettage of the endometrial cavity: endometrial endometrioid FIGO grade 2 adenocarcinoma with background of polypoid endometrium with atypical hyperplasia PELVIS:UTERUS, ADNEXA: There is abnormal heterogeneous thickening of the endometrial cavity measuring up to 2.0 cm in thickness which demonstrates abnormal restricted diffusion. There is abnormal heterogeneous polypoid enhancement of the endometrial contents following contrast administration. Near the internal cervical os the abnormal enhancement appears to involve at least 50% of the myometrial thickness (series 1201/218). Additionally, there is hypoenhancement at the bilateral uterine cornu, also suspicious for tumoral invasion. The cervical stroma is normal in signal intensity. There is no evidence of parametrial tumor extension.On the T2-weighted sagittal images the posterior junctional zone is well-defined and normal in thickness. Anteriorly the junction shown is a well-defined thickened which may represent tumoral invasion versus adenomyosis.Status post resection of the left ovarian dermoid cyst. The right adnexa is unremarkable.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy measuring greater than 1 cm in short axis.BOWEL, MESENTERY: Small amount of free pelvic fluid.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Abnormal heterogeneous thickening of the endometrial cavity with regions of polypoid heterogeneous enhancement with findings suspicious for at least 50% myometrial invasion at the anterior lower uterine segment. No evidence of cervical stromal invasion or extra-uterine tumor extension.