PMC4997025_01
Prechemotherapy scan shows that an ill-defined enhancing lesion is seen involving the cervix invading the bilateral parametria (a) and uterus (c) and also extending into the right mesorectal fascia and piriformis muscle (b).
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Contrast Enhanced Computed Tomography (CECT) scan of chest abdomen and pelvis revealed a 8.7 x 7.9 cm mass in cervix with extension into uterus and lower cervix, abutting the urinary bladder, laterally involving parametrium, encasing right ureter causing mild-to-moderate hydronephrosis and posteriorly loss of fat planes with rectum; bilateral external iliac lymph nodes were enlarged (largest 2.5 x 2 cm); 1.3 cm mildly enhancing mass in uncinate process of pancreas; multiple hypodense lesions in both lobes of liver, largest being 1.5 cm; and 2.8 x 2.4 cm soft tissue deposit in subcutaneous plane in right lower chest wall and multiple subcentimetric nodules in bilateral lungs (Figures 1 and 2).
Prechemotherapy CT scan showing multiple ill-defined hypodense lesions in liver (a) and hypodense lesion in the uncinate process of pancreas (b) and in the right chest wall (c). Moderate hydronephrosis on right side secondary to lower ureteric involvement by the cervical mass (b).
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Contrast Enhanced Computed Tomography (CECT) scan of chest abdomen and pelvis revealed a 8.7 x 7.9 cm mass in cervix with extension into uterus and lower cervix, abutting the urinary bladder, laterally involving parametrium, encasing right ureter causing mild-to-moderate hydronephrosis and posteriorly loss of fat planes with rectum; bilateral external iliac lymph nodes were enlarged (largest 2.5 x 2 cm); 1.3 cm mildly enhancing mass in uncinate process of pancreas; multiple hypodense lesions in both lobes of liver, largest being 1.5 cm; and 2.8 x 2.4 cm soft tissue deposit in subcutaneous plane in right lower chest wall and multiple subcentimetric nodules in bilateral lungs (Figures 1 and 2).
CT scan after six cycles of chemotherapy showing almost complete regression of the cervical mass and its extensions (a, b).
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After 6 cycles of chemotherapy, contrast enhanced CT scan showed complete response (CR) (Figures 3 and 4).
CT scan after six cycles of chemotherapy reveals complete resolution of the liver, pancreatic, and chest wall lesions.
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After 6 cycles of chemotherapy, contrast enhanced CT scan showed complete response (CR) (Figures 3 and 4).