| Summary: | According to the 2020 World Health Organization classification, mesonephric-like adenocarcinoma
(MLA) is newly categorized as a subtype of endometrial carcinoma and remains a relatively unknown
disease owing to its rarity. To the best of our knowledge, radiological findings of MLA have not been reported
in the English literature. The uterine MLAs show a worse clinical prognosis and a more aggressive
biological behavior than the usual endometrial carcinoma. Herein, we present the imaging findings
of a 65-year-old female with a MLA in the uterine corpus. The tumor was a solid endometrial mass
with deep myometrial invasion, poor contrast enhancement, and moderate diffusion restriction.
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