case_images: PMC10805543_01
case_images: Transvaginal ultrasound image showing a tumor with dimensions of 57.2 x 47.6 x 57.8 mm.
case_images: CRIONM2024-5093727.001.jpg
case_images: PMC10805543_01_CRIONM2024-5093727.001.jpg
case_images: fig1
case_images: CA-125 antigen evaluation was indicated as a precautionary measure, along with routine studies. CA-125 was found with a value of 880 U/ml (reference 0-35 U/ml), so a transvaginal ultrasound was performed, identifying a tumor measuring 57.2 x 47.6 x 57.8 mm with a heterogeneous echotexture, exhibiting irregular vegetating internal margins and containing fine mobile echogenic elements, considering characteristics suspicious for malignancy (Figure 1).
case_images: Contrast-enhanced computed tomography (CT) scan revealing a cystic tumor. Axial slice of a contrasted tomography of the abdomen visualized at the level of the pelvis where a circumscribed hypodense image is observed, and with a thick wall with enhancement to the contrast, as well as loss of the interface with the uterus and rectum, both are displaced.
case_images: CRIONM2024-5093727.002.jpg
case_images: PMC10805543_01_CRIONM2024-5093727.002.jpg
case_images: fig2
case_images: The patient was referred to the surgical oncology service of the 1o de Octubre Hospital-ISSSTE, Mexico, where a contrast-enhanced computerized tomography (CT) scan confirmed the presence of a tumor with measures of 70 x 61 x 63 mm, located in the pelvis (Figure 2).
case_images: Positron emission tomography/computed tomography (PET-CT) July 2022. The white arrow indicates hot uptake in the vaginal dome (a), the thin arrow shows right adenopathy (b), and the arrowhead shows hypermetabolism at the stoma site compatible with an infectious process (c).
case_images: CRIONM2024-5093727.003.jpg
case_images: PMC10805543_01_CRIONM2024-5093727.003.jpg
case_images: fig3
case_images: It detected hypermetabolic tumor activity at the level of the vaginal dome, right obturator adenopathy, referred peritoneal implant, and left focalized functional colostomy with incipient infectious process (Figure 3).
case_images: Positron emission tomography/computed tomography (PET-CT) findings postchemotherapy (February 2023). Circles show areas without hypermetabolism, compared to the previous PET-CT analysis.
case_images: CRIONM2024-5093727.004.jpg
case_images: PMC10805543_01_CRIONM2024-5093727.004.jpg
case_images: fig4