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. 2024 May 14;16(10):1869. doi: 10.3390/cancers16101869

Figure 13.

Figure 13

Stage IVA. A 91-year-old female with clear cell endometrial carcinoma. MRI axial T2 (a) and sagittal T2 (b) weighted MRI images show a large endometrial mass (arrow). This extends to the vaginal cuff, the rectosigmoid (arrowhead in image (b)), anteriorly invades through the posterior urinary bladder wall. The mass involves bilateral ureterovesical junctions and distal ureters, causing bilateral hydronephrosis (coronal T2, image (c)). The mass exhibits diffusion restriction with a mildly bright signal in DWI (d) and a low signal in ADC map (e). This patient’s FIGO 2009 vs. FIGO 2023 staging is the same.