Figure 2a. Cervical carcinoma with exophytic growth in a 44-year-old woman. The pathologic stage was Ib-1. (a) Sagittal T2-weighted MR image shows a slightly hyperintense, cauliflower-like tumor in the posterior lip of the portio (arrows). The tumor markedly expands the posterior vaginal fornix. (b) Photograph of the cut surface of the resected specimen shows a white mass that expands into the fornix (arrows). (c) Photomicrograph (original magnification, x10; hematoxylin-eosin stain) shows that the tumor is composed of atypical squamous epithelium with cancer "pearls" (arrowheads).