60 year-old female. Recurrent endometrial cancer in pelvis with bladder involvement, planning for pelvic exenteration. PELVIS:UTERUS, ADNEXA: Post-surgical findings of hysterectomy with a 5 x 4.3 cm soft tissue mass in the operative bed, consistent with stated history of recurrent endometrial cancer. Approximately 4.5 cm above the anorectal junction, the tumor invades into the anterior wall of around a 7 cm long segment of rectum and distal sigmoid colon (series 701, image 27). Tumor invades into the left posterolateral pelvic sidewall (series 1101, image 243) and into the left superior and posterior vaginal cuff (series 701, image 21). There is also invasion of tumor in the left posterior bladder dome, which is eccentrically thickened (series 1101, image 260)Mass invades and obstructs the distal left ureter with proximal ureteral dilatation (series 501, image 23).BLADDER: See above. LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: See above.BONES, SOFT TISSUES: Small Tarlov cysts in the sacral foramina.OTHER: No significant abnormality noted.
Large pelvic mass consistent with recurrent endometrial cancer with invasion into the distal sigmoid colon/rectum, left posterior bladder dome, left posterolateral pelvic sidewall, left ureter, and superior vaginal cuff.