49 years, Female, Reason: Extent of tumor in pelvis History: uterine sarcoma. UTERUS, ADNEXA: There is a large lesion centered in the region of the cervix compatible with patient's known sarcoma measuring 7.4 x 8.0 x 15.7 cm (701/25, 601/31). There is a vaginal invasion extending to the nearly the introitus. There is full thickness stromal invasion and bilateral parametrial invasion. There is invasion of the bladder anteriorly. There is also extension of the tumor along the broad ligaments bilaterally and into the ovaries which are enlarged and invaded with tumor measuring 7.2 x 6.1 cm on the right (41/57) and 7.2 x 6.0 cm on the left (41/58). The left ovary contains a cyst with old hemorrhage. There is abutment of the rectum posteriorly without definite invasion. The left posterior lateral pelvic side wall is invaded, with tumor extending immediately inferior to the left piriformis. A small amount of fluid is present within the fundus of the uterus. Bulky bilateral pelvic lymphadenopathy is present. The left external and internal iliac arteries are encased with lymph nodes. The right external and internal iliac veins are splayed by adjacent lymph nodes with invasion of the right iliacus muscle.BLADDER: Foley catheter with posterior bladder wall invasion. Bilateral ureteral stents are present.LYMPH NODES: Enlarged right external iliac node measuring 3.2 x 2.7 cm (601/27). Enlarged left internal iliac node measuring 3.6 x 1.9 cm (701/31). Retroperitoneal lymphadenopathy is partially visualized.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of ascites.
1.Large cervical tumor with extensive invasion of adjacent structures including the pelvic sidewall, ovaries, lower vagina and bladder.2.Pelvic and retroperitoneal lymphadenopathy.3.Small amount of ascites.