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Fig. 9. —65-year-old woman with advanced endometrial carcinoma. Sagittal T2-weighted turbo spin-echo image (TR/TE, 3,900/99) shows enlarged uterus and diffuse tumor involving entire endometrial surface. Hydrometra (E) is also present. Large amount of ascites (A) and peritoneal metastases (arrows) are also seen. Advanced endometrial carcinoma cannot be clearly differentiated from malignant mixed müllerian tumor on images. However, in practice, most patients with endometrial carcinomas have tumors that are confined to endometrium or that only superficially invade myometrium, and most malignant mixed müllerian tumors or endometrial stromal sarcomas tend to be massive with deep myometrial invasion on initial presentation.





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