Fig. 5
From: Do hereditary syndrome-related gynecologic cancers have any specific features?
a–d. Poorly differentiated endometrioid carcinomas of the left ovary and of the endometrium in a 56-year-old woman with Lynch syndrome. CECT shows a large complex cystic-solid multiloculated left adnexal mass with no cleavage plane from the uterine corpus (a) in concordance with invasion of the myometrium, as pathologically demonstrated. The same image depicts the endometrial tumour, seen as a polypoid solid lesion within the uterine cavity surrounded by fluid, proved to be confined to the inner half of the endometrium. A CECT scan obtained 2 months after hysterectomy with bilateral adnexectomy without pelvic lymphadenectomy demonstrates in the sagittal plane (b) a large pelvic mass arising from the vaginal cuff consistent with tumour recurrence, as well as two abdominal wall implants (arrows). Left hydronephrosis secondary to pelvic wall invasion (c) and a hepatic subcapsular implant (d) are also evident in the same study