Carcinosarcoma of the uterus: radiologic-pathologic correlations with magnetic resonance imaging including diffusion-weighted imaging

被引:17
作者
Kato, Hiroki [1 ]
Kanematsu, Masayuki [1 ,2 ]
Furui, Tatsuro [3 ]
Imai, Atsushi [3 ]
Hirose, Yoshinobu [4 ]
Kondo, Hiroshi [1 ]
Goshima, Satoshi [1 ]
Tsuge, Yusuke [1 ]
机构
[1] Gifu Univ, Sch Med, Dept Radiol, Gifu 5011194, Japan
[2] Gifu Univ Hosp, High Level Imaging Diagnost Ctr, Gifu, Japan
[3] Gifu Univ, Sch Med, Dept Obstet & Gynecol, Gifu 5011194, Japan
[4] Gifu Univ, Sch Med, Dept Pathol, Gifu 5011194, Japan
关键词
Carcinosarcoma; Uterus; Magnetic resonance (MR); Diffusion-weighted images;
D O I
10.1016/j.mri.2008.04.003
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The authors describe the MRI findings, including diffusion-weighted imaging findings, of histopathologically proven uterine carcinosarcoma in four postmenopausal women. In three of four patients, diffusion-weighted images clearly revealed hypointense areas corresponding to hypocellular regions caused by intratumoral necrosis, and apparent diffusion coefficient (ADC) mapping images indicated that necrotic areas had high ADC values. In the remaining patient. diffusion-weighted and ADC mapping images clearly distinguished components of adenocarcinoma front sarcoma. In all patients, diffusion-weighted and ADC mapping, images precisely reflected histopathological findings. Diffusion-weighted images were found to demonstrate complicated tissue components in carcinosarcomas of the uterus, and thus, which may be useful for the diagnosis of this disease. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:1446 / 1450
页数:5
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