Figure 14.

Stage 3 Stage IIIA endometrial cancer in a 65-year-old female: (a) Sagittal T2-weighted, (b) Axial T2-weighted. (c) T1FAT SAT. (d) SWI, (e-g) Sag and Axial DWl with apparent diffusion coefficient map: Sagittal T2-weighted ME image shows a large endometrial tumor (*). The depth of myometrial invasion is difficult to determine qwing to poor tumor-to-myometrium contrast (arrow). (b) Axial oblique T2-weighted magnetic resonance image shows extension of the endometrial tumor (*) up to the serosa. The tumor is isonitense relative to the adjacent myometrium. In addition, the uterus is distorted by two leiomyomas (L), whose presence is a commonly reported pitfall in staging. (c) T1FATSAT image reveals bright signal which shows corresponding blooming on SWI (arrow). (d) suggestive of hemorrhage. (e and g) diffusion-weighted image reveal high signal with low apparent diffusion coefficient values of 0.5–0.6. (f) Restricted diffusion. HPE Mucinous adenocarcinoma