Uterine Carcinosarcoma: A Case Report and Literature Review

Figure 2

Axial (a), coronal (b), and sagittal (c) postcontrast CT images show a large heterogeneous mass centered within the lower uterus and cervix (solid arrows) which involves more than 50% of the myometrium and is enhancing less than the normal myometrium. There is local invasion to the urinary bladder (dotted arrows, (b, c)) and bilateral pelvic and retroperitoneal lymphadenopathy (circles/ellipses, (a–c)). There is no clear distinction with loss of the fat plane between the vagina and the rectum. Air focus within the vagina (dashed arrow, (c)) is suspicious for a rectovaginal fistula.

(a)

(b)

(c)