Case challenge · Imaging / Gynecologic oncology / MRI · teaching

Endometrial Cancer MRI Staging (FIGO 2023) · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on FIGO 2023

Case #1Imaging / Gynecologic oncology / MRI

📋 Case data

MRI invasion assessmentMyometrial invasion <50% (IA)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · MRI invasion assessment

MRI assessment of depth of myometrial invasion / cervical stroma / histology?

💡 MRI (T2WI + DWI + DCE combined) assesses depth of myometrial invasion, cervical stromal invasion, nodes. Key: an intact low-signal junctional zone (JZ) on T2WI + a smooth continuous early subendometrial enhancement band on DCE = excludes myometrial invasion; disruption = invasion. Tumor is often isointense to myometrium, delineated on DWI. Pitfalls: fibroid/adenomyosis blurring the interface, postmenopausal JZ atrophy, cyclic cervical signal in the young.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.