Case Report

Leiomyosarcoma of the Rectum as a Radiation-Induced Second Malignancy after Cervical Cancer Treatment: Case Report with Review of the Literature

Figure 1

Radiologic data from a high-resolution pelvic MRI. Tumor of the lower rectum (1) situated on the anterior wall was observed on sagittal (a) and axial T2-weighted scans (b) with signs of mesorectal invasion (blue arrowheads) ranging up to 3 mm and no radiologic features of lymph node metastases (3). Vaginal stump and rectovaginal sept (2) had a significantly low intensity MR signal due to their fibrotic transformation. On a series of diffusion-weighted images (c), a significant delay of diffusion together with intense signaling on high b-factors was observed at the level of a tumor (blue arrowheads).
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