Cem Baykal
Professor
Title: Deep pelvıc endometrıosıs mımıckıng advanced stage cervıcal carcınoma wıth all ımagıng technıques
Biography
Biography: Cem Baykal
Abstract
Endometriosis is a progressive benign disease characterized by a biphasic extrauterine growth of endometrial-like epithelium and stroma. Cervix uteri is thought as an infrequent localization for endometriosis. cervical endometriosis can mimick cervical carcinoma.
CASE: A 51 year old women G2P1A1had a history of pelvic pain and vaginal spotting for two months. On speculum examination, her vulva and vagina appeared normal, but cervix seemed erosive and haemorrhagic. When bimanual vaginal examination was performed, there was a mass lesion about 3*4 cm on the right parametrial area and the mass lesion originated from cervix. Colposcopic examination was normal. Pelvic MR of patient was reported as a cervical mass about 38*37*27 mm and invaded right parametrium by this mass. We wanted to get a biopsy from this parametrial lesion by interventional radiology. The result of biopsy was endometriosis. This difference between clinical and pathologic diagnosis made us to order a PET-CT for the patient. PET-CT reported a 4 cm mass originating from the cervix through right parametrium and gluteal area with moderate FDG retake. A hysterectomy was planned for patient. In the operation there had been about 4*4 cm mass in right parametrial area, this area was excised with radical hysterectomy and also bilateral salpingoopherectomy was carried out. Patient was thought to be advanced stage and lymphadenectomy was quitted. The pathologic result of this lesion was endometriosis