My wife was diagnosed with uterine cancer a year ago. She underwent both external and internal radiation therapy at Petrov. Since then, she’s been following up regularly, and all her results have been normal—including her Pap smear seven months ago this year. Then, disaster struck. It started with back pain, swelling in her legs, and so on. After numerous exams, a CT scan revealed metastases in the liver and lymph nodes... Her condition deteriorated rapidly within a month and a half of her last routine checkup. She is currently hospitalized, and the prognosis isn't looking good... Does anyone have any information on what can be done next or how to proceed? Any help would be appreciated. Thank you.
CT Report
The lung parenchyma at the bases shows no visible focal lesions or signs of pleural effusion.
The liver is normally positioned and slightly enlarged, showing diffuse infiltration of numerous hypodense lesions ranging from 1 to 4.5 cm, which, based on radiomorphological characteristics, correspond to metastatic changes.
The gallbladder, bile ducts, pancreas, spleen, adrenal glands, and both kidneys show normal CT findings.
Conglomerates of enlarged lymph nodes are present in the retroperitoneum around the aorta and vena cava, extending from the renal hilum level to the aortic bifurcation, measuring up to 5.6x3.5 cm together with the blood vessels on certain transverse sections.
The uterus has sharply defined contours on transverse sections, measuring 3.60x5.40 cm. The cervix measures 4.90x2.30 cm, with obscured pericervical fatty tissue.
The intestinal loops show no dislocation or dilation.
The rectum shows eccentric thickening on the right side, accompanied by obscuration of the perirectal fatty tissue.
No visible lytic-destructive changes are noted in the lower lumbar spine bones, pelvis, or hips.
Conclusion
Liver metastases.
Retroperitoneal lymph node conglomerates from the renal hilum level to the aortic bifurcation.
Obscured pericervical and perirectal fatty tissue with asymmetric thickening of the rectal wall on the right side.
CT Report
The lung parenchyma at the bases shows no visible focal lesions or signs of pleural effusion.
The liver is normally positioned and slightly enlarged, showing diffuse infiltration of numerous hypodense lesions ranging from 1 to 4.5 cm, which, based on radiomorphological characteristics, correspond to metastatic changes.
The gallbladder, bile ducts, pancreas, spleen, adrenal glands, and both kidneys show normal CT findings.
Conglomerates of enlarged lymph nodes are present in the retroperitoneum around the aorta and vena cava, extending from the renal hilum level to the aortic bifurcation, measuring up to 5.6x3.5 cm together with the blood vessels on certain transverse sections.
The uterus has sharply defined contours on transverse sections, measuring 3.60x5.40 cm. The cervix measures 4.90x2.30 cm, with obscured pericervical fatty tissue.
The intestinal loops show no dislocation or dilation.
The rectum shows eccentric thickening on the right side, accompanied by obscuration of the perirectal fatty tissue.
No visible lytic-destructive changes are noted in the lower lumbar spine bones, pelvis, or hips.
Conclusion
Liver metastases.
Retroperitoneal lymph node conglomerates from the renal hilum level to the aortic bifurcation.
Obscured pericervical and perirectal fatty tissue with asymmetric thickening of the rectal wall on the right side.