Carcinosarcoma of the uterus: Magnetic resonance imaging

Carcinosarcoma of the uterus: Magnetic resonance imaging
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DOI:
10.1159/000291840
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发表时间:
1997-01-01
影响因子:
2.1
通讯作者:
Sugimura, K
Sugimura, K
中科院分区:
医学4区
文献类型:
--
作者:
Takemori, M;Nishimura, R;Sugimura, K

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我们报告一位70岁女性子宫癌肉瘤的磁振造影结果,使用顺磁性增强剂钆喷酸葡胺(Gd-DTPA)。在本例患者中,组织学上肉瘤成分最丰富的息肉样部分被Gd-DTPA强烈增强,并在对比增强的T1加权像上清晰显示为高信号强度。我们认为,使用Gd-DTPA的MRI可能在临床上用于检测癌肉瘤,并且任何患有子宫内膜癌伴息肉部分(肿瘤内Gd-DTPA增强更强烈)的患者都可能被怀疑为癌肉瘤。
We report the magnetic resonance imaging (MRI) findings with a paramagnetic enhancement agent (gadopentetate dimeglumine (Gd-DTPA)) in a 70-year-old woman with carcinosarcoma of the uterus. In the present patient, the polypoid portion histologically most abundant in the sarcomatous component was strongly enhanced by Gd-DTPA and was clearly demonstrated with high signal intensities on contrast-enhanced T-1-weighted images. We suggest that MRI with Gd-DTPA may be clinically useful for detection of carcinosarcoma, and that any patient having endometrial carcinoma with the polypoid portion, which is more strongly enhanced by Gd-DTPA within the tumor, may be suspected of carcinosarcoma.