Krupa K. Patel-Lippmann MD, Presenter: Nothing to Disclose

Kristie Guite MD, Abstract Co-Author: Nothing to Disclose

Jessica B. Robbins MD, Abstract Co-Author: Nothing to Disclose

Ahmed Al-Niaimi MD, Abstract Co-Author: Nothing to Disclose

Evis Sala MD, PhD, Abstract Co-Author: Nothing to Disclose

Elizabeth A. Sadowski MD, Abstract Co-Author: Nothing to Disclose

Endometrial cancer is the 4th most common cause of cancer in women and the most common gynecologic malignancy. Patients often present with Stage I disease due to early symptoms of abnormal uterine bleeding. MRI can accurately depict endometrial cancer and determine the depth of myometrial invasion, cervical involvement and extra-uterine spread. The purpose of this exhibit is to review the appearance of endometrial cancer on MRI and highlight the imaging features which can help direct or modify the surgical management and potentially avoid unnecessary lymphadenectomy. 

1. Overview of normal MRI uterine anatomy. 2. Review the staging and MR imaging features of endometrial cancer, and differentiate endometrial cancer from benign endometrial pathology such as endometrial hyperplasia, adenomyosis, fibroids and polyps. 3. Discuss the role of MRI in pre-operative planning, highlighting the imaging features which can modify the surgical approach.  

Pelvic MRI can accurately depict the extent of endometrial cancer, aid in the pre-operative evaluation and direct surgical planning. Recognizing the imaging features of endometrial cancer, as well as being mindful of potential pitfalls is important in the management of patients with endometrial cancer.

Patel-Lippmann, K, Guite, K, Robbins, J, Al-Niaimi, A, Sala, E, Sadowski, E, MR Imaging of Endometrial Cancer and Its Role in Directing Surgical Management.  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13018621.html