Figure 9.

Stage IIC. A 60-year-old female patient with endometrial carcinosarcoma. Sagittal T2 (a), axial T2 (b), axial T1 pre (c), and post (d) contrast show a large heterogeneously enhancing mass (arrow) distending the entire endometrial cavity. The mass extends into the superior aspect of the endocervical canal. The mass appears to have a low ADC value (e) and a high signal in DWI (f). The mass invades the myometrial wall along the right side of the uterine fundus and along the right lateral wall of the uterine body (arrowheads). Endometrial carcinosarcoma is an aggressive histological type, and, hence, any myometrial involvement is staged as stage IIC.