Document Detail


MRI findings including gadolinium-enhanced dynamic studies of malignant, mixed mesodermal tumors of the uterus: differentiation from endometrial carcinomas.
MedLine Citation:
PMID:  12386766     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our objective was to evaluate the usefulness of MRI including dynamic study in differentiating malignant, mixed mesodermal tumor (MMMT) from endometrial carcinoma (EC). The MR images were reviewed in 4 patients with histologically confirmed MMMT and 11 patients with EC. Flow voids inside and/or around the tumors were seen in 2 patients with MMMT but not in any EC cases. In dynamic studies, all 4 patients with MMMT showed areas of early and persistent marked enhancement similar to that of the myometrium, mixed with areas of gradual and delayed marked enhancement. The portions showing early and persistent enhancement histologically corresponded to predominantly sarcomatous components with prominent vascularity. Ten of 11 ECs did not show such enhancement and only one showed a rapid enhancement in the early phase which was diminished in the delayed phase. The MR imaging with a gadolinium-enhanced dynamic study seems to be useful in differentiating MMMT from EC.
Authors:
Takayuki Ohguri; Takatoshi Aoki; Hideyuki Watanabe; Katsumi Nakamura; Hajime Nakata; Yusuke Matsuura; Masamichi Kashimura
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Publication Detail:
Type:  Journal Article     Date:  2002-05-09
Journal Detail:
Title:  European radiology     Volume:  12     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-10-18     Completed Date:  2003-04-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  2737-42     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Occupational and Environmental Health School of Medicine, Iseigaoka 1-1, Yahatanisi-ku, Kitakyushu-shi 807-8555, Japan. ogurieye@med.uoeh-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Case-Control Studies
Contrast Media
Diagnosis, Differential
Endometrial Neoplasms / diagnosis*
Female
Gadolinium DTPA / diagnostic use
Humans
Magnetic Resonance Imaging*
Middle Aged
Mixed Tumor, Mesodermal / diagnosis*
Uterine Neoplasms / diagnosis*
Uterus / pathology
Chemical
Reg. No./Substance:
0/Contrast Media; 80529-93-7/Gadolinium DTPA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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