The "botryoid sign": a characteristic feature of rhabdomyosarcomas in the head and neck.

Abstract:

:We investigated nine patients with rhabdomyosarcoma in the head and neck (6-53 years of age), using CT and MRI. The tumours originated in the paranasal sinuses (3), cheek (2), soft palate (1), orbit (1), sternocostoclavicular muscle (1) and parapharyngeal space (1). The histological subtype was embryonal in five, alveolar in three and pleomorphic in one case. The tumours enhanced markedly and heterogeneous on CT and MRI. The masses were isointense or gave slightly higher signal than surrounding muscles on T1- and heterogeneously high signal on T2-weighted images. In four tumours, multiple ring enhancement resembling bunches of grapes. This appears to be characteristic of rhabdomyosarcoma and probably reflects a component of botryoid-type rhabdomyosarcoma in which mucoid-rich stroma is covered with a thin layer of tumour cells. We have named this imaging feature the "botryoid sign".

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Hagiwara A,Inoue Y,Nakayama T,Yamato K,Nemoto Y,Shakudo M,Daikokuya H,Nakayama K,Yamada R

doi

10.1007/s002340000464

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

331-5

issue

4

eissn

0028-3940

issn

1432-1920

journal_volume

43

pub_type

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