J Korean Radiol Soc.  1987 Dec;23(6):1038-1043. 10.3348/jkrs.1987.23.6.1038.

Computed tomography of iliopsoas involvement in uterine cervix cancer

• Chung JU
• Choi BI
• Kim SH
• Han MC
• Kim CW

• KMID: 2359348
• DOI: http://doi.org/10.3348/jkrs.1987.23.6.1038

Abstract

Uterine cervix carcinomas spread by direct local extension, lymphatic permeation and hematogenous dissemination. Their metastatic foci are closely related to iliopsoas compartment anatomically no matter what the pattern of spread is. Therfore, iliopsoas involvement in uterine cervix cancer may occur frequently. The authors reviewed pelvis CT of 218 cervix cancer patients for recent one year from March 1986 to February 1987 at Seoul National University Hospital. Among them, 10 cases showed iliopsoas invovement. Pattern of iliopsoas involvementwas classified into four types: infiltrative type(three cases), localized mass type (three cases), mass with bone destruction type (two cases), paraaortic lymphadenopathy type (two cases). In all cases except 3 cases ofinfiltrative type, lymphadenopathy or bone metastasis adjacent to iliopsoas lesions was identified. And this finding suggested that the route of iliopsoas involvement in cervix cancer would be secondary infiltration frommelastatic focus of adjajcent lymph node or bone. Recognition of iliopsoas involvement of cervix cancer mayprevent misdiagnosis and predict the degree of disease dissemination.

MeSH Terms

Cervix Uteri*
Diagnostic Errors
Female
Humans
Lymph Nodes
Lymphatic Diseases
Neoplasm Metastasis
Pelvis
Seoul
Uterine Cervical Neoplasms