cervical cancer

Complete English Translation · Source 1

Chengdu Puji Traditional Chinese Medicine Research Institute

Chengdu Puji TRADITIONAL CHINESE MEDICINE RESEARCH INSTITUTE Traditional Chinese Medicine Outpatient Department

Chengdu Puji

Traditional Chinese Medicine case for cancer rehabilitation

kindness and skill

differential diagnosis and treatment / treat both root and symptoms live with tumor

clinical summary:

diagnosis: cervical cancer age: 46 gender: female region: Guangdong

46-year-old cervical cancer patient [PATIENT] in Zhongshan City, Guangdong Province,

recheck in early October 2025, report shows tumor

size approximately 97mm ×62mm ×68mm;

report time:

2025-10-001

6:16:24

HIS number:

examined area:

applying department:

gynecology

requesting physician:

type:

pelvic plain scan: pelvic plain scan followed by enhancement:

Liang Qi-zhao

maintain and select,

hospitalization number: [REDACTED]

bed number:

[REDACTED]

system number:

check TD:

407M6Q

MR[ID REDACTED]

slightly hyperintense, marked diffusion restriction, heterogeneous and intense enhancement on contrast-enhanced scanning. Vaginal anterior and posterior

Anteverted uterus, enlarged cervix with irregular mass formation, size approximately 97X62X68mm,

isointense,

Posterior and inferior wall boundary is unclear.

Lesion invades vagina downward exceeding 2/3, lesion shows no clear demarcation from surrounding tissues,

Uterine isthmus and lower uterine body endometrium appears irregular and heterogeneous signal, remaining uterine cavity and isthmus appears

Appears related to bladder

clear. Invasion of left psoas internus and externus muscles, patchy enhancement observed on contrast-enhanced scanning. No obvious masses detected in bilateral adnexal regions

Abnormal. Multiple small lymph nodes detected in the pelvis,

No fluid detected in the pelvis.

Findings indicate:

Consistent with cervical cancer stage IVB (FIGO 2018), tumor invasion into rectum, bladder, and left psoas internus and externus muscles

Patient took medication for half a month, and underwent follow-up examination at the end of October 2025, report showed tumor shrinkage to

8.4cm ×6.7cm ×7.2cm.

Patient ID:

Cloudy report

Sichuan University West China Second Hospital

[ID REDACTED]x-

Name: [REDACTED]

Report type:

Radiology Department MR consultation report

Gender: female

Site: MRI of mid-abdominal and pelvic routine scanning + enhanced scanning

Age: 46 years

West China Hospital, female

Examination date:

13:02

2095_1

Hospital admission number:

[REDACTED]

At the level of uterine cervix junction, extending downward to involve the entire vagina

Uterus and vagina: irregular mass observed throughout the vagina and left portion of the cervix

Heterogeneous enhancement observed in the delayed phase:

scar visible at the lower segment of the anterior uterine wall,

No imaging signal detected, size approximately 8.4 x 6.7 x 7.2 cm.

Perivesical tissues.

No abnormal signal observed in the endometrial signal:

No abnormal signals observed in the remaining myometrium: uterus

Limit. Vascular interval

More pronounced on the left; left parauterine vascular shadows show enlargement and tortuosity:

High signal, indistinct borders.

Entrance area not clearly visualized.

High thickening, nodular patchy high signal and

DWI shows restricted diffusion.

Irregular patchy T2W hyperintense signals observed

Left pelvic wall is not clearly visualized: no dilation observed in the right ureter

Irregular thickening of the wall. Dry urine noted

Size approximately 1.9 × 1.2 cm: adjacent to the abdominal aorta, iliac vessels

Mild dilation observed in the left renal pelvis and calyces; no abnormalities in the size or shape of both kidneys; no abnormal enhancement on contrast enhancement.

Diagnosis opinion:

Malignant lesion: please correlate with clinical findings and pathological examination:

1. Mass lesion involving the entire vagina and left portion of the cervix,

Left pelvic wall, left obturator muscle, external and internal obturator muscles, pubis muscle, and left pubic bone involved, suggestive of malignant tumor

Left ureter at bladder entrance, rectum and

4. Left renal pelvis, calyceal, and left ureter show mild dilation; no dilation observed in the right ureter.

3. No definite mass lesions observed in both sides.

2. Possible bilateral obturator region lymph node metastasis; no enlarged lymph nodes observed in the para-aortic region, iliac vessels region, or preperitoneal region:

Report date: 2025-10-24 16:48

Note: The results of this examination reflect the condition at the time of examination and are for reference only during clinical diagnosis.

Reporting physician:

Hu Jian

Reviewing physician: Bo Shanglu

Department of Radiology, West China Second University Hospital

Phone: [REDACTED]

Postal code: 610041