Adenoma malignum: MR imaging and pathologic study.

Abstract:

PURPOSE:To evaluate the clinical, pathologic, and magnetic resonance (MR) imaging findings in adenoma malignum, a rare variant of uterine cervical adenocarcinoma. MATERIALS AND METHODS:Medical records of all patients (n = 7) with adenoma malignum of the uterine cervix diagnosed pathologically between 1988 and 1996 were retrospectively reviewed. Unenhanced T1-weighted and T2-weighted images and gadolinium-enhanced T1-weighted MR images were evaluated, and findings were correlated with gross pathologic and microscopic features. RESULTS:In five of seven patients, enlargement of the cervix was seen. All lesions were detected as multiple cystic lesions that extended from the endocervical gland to the deep stroma of the cervix. They appeared isointense (n = 5) or slightly hyperintense (n = 2) relative to the uterus on T1-weighted images and markedly hyperintense relative to the uterus on T2-weighted images. Solid portions of variable size were seen between cystic lesions, and both the multiple cystic component and the solid portion were most apparent on the gadolinium-enhanced T1-weighted images. Microscopic parametrial invasion was seen in two patients but was not detected at MR imaging. CONCLUSION:Adenoma malignum was depicted on MR images as a multicystic mass with solid portions located in the deep cervical stroma. Gadolinium enhancement helped identify the solid portion of the tumor.

journal_name

Radiology

journal_title

Radiology

authors

Doi T,Yamashita Y,Yasunaga T,Fujiyoshi K,Tsunawaki A,Takahashi M,Katabuchi H,Tanaka N,Okamura H

doi

10.1148/radiology.204.1.9205220

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

39-42

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

204

pub_type

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