Endometrial Carcinoma A Large Adnexal Mass in a Patient with Endometrial Cancer Estimated reading: 2 minutes 434 views Contributors Clinical History A 74-year old lady presented with abdominal distension and discomfort. Case Description Ultrasound of the abdomen and pelvis (TA and TV) revealed a grossly thickened endometrium measuring 27 mm in AP calibre with heterogeneous echotexture. In addition there was a 131 mm complex non-vascular cystic mass (endometrial cancer) in the left adnexa/ left hemipelvis. Diagnosis/ Discussion/ Treatment/ Follow up The patient had a whole body contrast CT which confirmed the ultrasound findings (endometrial cancer) in addition to the diagnosis of some omental cake with nodal peritoneal deposits and ascites in keeping with gynaecological malignancy. The adnexal cyst appeared to herniate through the left inguinal canal. The tumour markers (Ca125 and Ca19.9) were significantly elevated. Subsequently, the patient had an omental biopsy which confirmed metastatic high grade carcinoma. Sonograms Transabdominal view of the pelvis showing a 131 mm x 68 mm (L x AP) heterogeneous cystic mass in the left adnexa Transvaginal longitudinal view of the uterus showing an abnormally thickened endometrium of 26 mm (AP) Power Doppler imaging of the left adnexal complex cyst showing no evidence of internal vascularity PDI of the left adnexal cystic mass Free fluid in the right upper quadrant in keeping with ascites Ascites in the left upper abdominal quadrant adjacent to the spleen; subphrenic and within the splenorenal recess Ascites in the LUQ Axial CT showing the cyst in the LIF Sagittal CT showing the left adnexal cystic mass herniating into the left inguinal canal A Large Adnexal Mass in a Patient with Endometrial Cancer - PreviousEndometrial CarcinomaNext - A Large Adnexal Mass in a Patient with Endometrial CancerCervical Mass Published on: September 25, 2024
