Kaku Ayumi, Kiyosue Hiro, Matsumoto Shunro, Mori Hiromu, Kashima Kenji, Miyakawa Isao
Department of Academic Radiology, Oita University Faculty of Medicine, Japan.
Eur Radiol. 2005 May;15(5):975-7. doi: 10.1007/s00330-004-2382-5. Epub 2004 Oct 6.
Adenoid cystic carcinoma (ACC) of the uterine cervix is a rare primary neoplasm of the uterus that occurs in post-menopausal women; its radiological findings have not been described previously. We present the MR findings of a case of ACC. The mass exhibited homogeneous low-signal intensity on T1-weighted images. On T2-weighted images, the mass showed high-signal intensity with a lobulated contour and multiple septum-like internal architectures. It also contained spots of very high-signal intensity, which would represent the mucin in the glandular lumen. The multiple septum-like internal architectures probably represented interglandular fibrous stroma. These MRI findings may be helpful for future diagnoses of ACC of the uterine cervix.
宫颈腺样囊性癌(ACC)是一种罕见的子宫原发性肿瘤,发生于绝经后女性;其影像学表现此前尚未见报道。我们展示了一例ACC的磁共振成像(MR)表现。该肿块在T1加权图像上呈均匀低信号强度。在T2加权图像上,肿块呈高信号强度,轮廓呈分叶状,内部有多个类似间隔的结构。它还包含一些极高信号强度的斑点,这可能代表腺腔内的黏液。多个类似间隔的内部结构可能代表腺间纤维性间质。这些MRI表现可能有助于未来宫颈ACC的诊断。