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52 CT shows a large, irregular uterine tumor with invasion of the surrounding pelvic organs, peritoneum, and omentum (Fig. 24C and D). Fig. Stage IV Futurama Futanari Free Porn Videos of the uterus. Pirn ( A ) and sagittal ( B ) sonograms of the Futurama Futanari Free Porn Videos show it to be replaced by a large, inhomogeneous solid mass ( m ) with high- and medium-level echogenicity. There is evidence of extension superiorly ( curved arrow ) and Poorn the parametria ( long arrows ) and bladder ( short arrows ).

Serial CT scans of the pelvis ( C and D 3D Monster Fuck Gangbang Free Porn Videos show a large mass ( Futurama Futanari Free Porn Videos ) that is seen to spread to the mesentery ( t ). The perirectal fat plane is also obliterated, which is consistent Futurama Futanari Free Porn Videos rectal invasion.

Latin Homemade Sex - Porno Thumbnailed Pictures rrectum; wbladder wall; bbladder. ) Endometrial carcinoma spreads by local infiltration from the endometrium to the myometrium and along the lower uterine segment to the cervix.

57 Other routes of spread follow lymphatic channels. 13 The incidence of pelvic lymph node metastases in patients with tumors confined to the uterus ranges from 1 to 36 and is related to the Vifeos grade of the tumor and depth of myometrial invasion. 5859 Peritoneal dissemination and hematogenous metastases occur more commonly in poorly differentiated endometrial carcinomas 60 and uterine sarcomas.

Preoperative clinical and laboratory evaluation includes a history and physical examination with pelvic and Vkdeos examinations, which may be done under anesthesia, and dilatation with fractionated curettage.

Approximately 80 of endometrial carcinomas have clinical stage I disease. 62 This accounts Videls the overall high cure rate for endometrial cancer. In contrast to cervical cancer staging, endometrial cancer staging is achieved surgically, according to histologic criteria (Table 2).

The staging system is based on extent of involvement of the uterus, adjacent structures, and lymph Fururama. In stage I, the tumor is limited to the uterine corpus, including endometrial involvement in stage Futursma less than 50 myometrial invasion in stage IB; and greater than 50 myometrial invasion in stage IC. In stage II, there is cervical involvement.

The differentiation between stages I and II Viedos important because stage I tumors are commonly treated surgically, whereas stage II tumors may be treated with preoperative radiation therapy. Stages IIIA, IIIB, and IIIC signify extension to the adnexa, vagina, and lymph nodes, respectively. The prognosis depends on the depth of myometrial extension, tumor histology and grade, and nodal involvement.

21363 Clinical evaluation understages tumors in 20 of patients.

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