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Fig. 3. —62-year-old woman with malignant mixed müllerian tumor. Contrast-enhanced CT scan shows markedly enlarged uterus totally replaced by mass and focal disruption of uterine margin (arrowheads). Note inhomogeneous contrast enhancement and calcification. Lobulated peritoneal mass (arrows) is noted anterior to main mass. Ascites (f) is also seen. Intraperitoneal metastases are more common than hematogenous metastases in malignant mixed müllerian tumors. Peritoneum is usually involved in more than half of cases extending beyond uterus. Extent of tumor at time of diagnosis is most important prognostic factor.

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