On contrast-enhanced MDCT the uterine arteries are visualized as tubular enhancing vessels in the parametrium
. Intramural branches can be visualized as dot-like enhancing structures in the outer myometrium.
Patients having other pelvic malignancies locally invading cervical parametrium
, with evidence of distant metastasis, inflammatory diseases of cervix and pregnant patients were excluded.
A colpotomy was performed circumferentially, and the cervical specimen was excised together with the parametrium
at least 2 cm below the internal os.
A large retroperitoneal mass, measuring 26.5 x 26.3 x 16.3 cm, was noted in the right parametrium
and in close proximity to the internal iliac vessels.
from the tunnel through the lateral portion of parametrium
. This was
The Z-Type Scissors and Forceps are ideal for clamping and cutting parametrium
and uterine tissue during vaginal or abdominal hysterectomy procedures.
, pelvic lymph nodes, left adnexa, and peritoneal washings were negative for carcinoma.
The lateral part is the obturator space (under the external iliac vessels) and the medial part is the ventral parametrium
. The obturator space contains (Figure 8) the obturator nerve, obturator artery and vein, and fatty and lymphatic tissue.
Epithelioid trophoblastic tumor of paracervix and parametrium
. International Journal of Gynecology & Cancer 2008;18(4):843-6.
-- Cone biopsy or simple hysterectomy without parametrium
removal appears adequate in patients with clinical stage I cervical cancer and clear parametrial margins as long as the tumor size is no greater than 2 cm.
In majority of the cases, in both the groups, the cervix was found to be bulky (19 patients in Arm A and 16 in Arm B) and the parametrium
was found to be free (16 patients in Arm A and 14 in Arm B) and there was no statistically significant difference as regards to the findings of P/V and P/R in Arm A and Arm B.
Per rectal examination: rectal mucosa and parametrium