Erbay Gurcan, Karadeli Elif, Parlakgumus Alper
Department of Radiology, Baskent University School of Medicine, Dr. Turgut Noyan Medical and Research Center, Adana, Turkey.
Department of General Surgery, Baskent University School of Medicine, Dr. Turgut Noyan Medical and Research Center, Adana, Turkey.
J Coll Physicians Surg Pak. 2019 Mar;29(3):274-275. doi: 10.29271/jcpsp.2019.03.274.
Retroperitoneal serous cystadenocarcinoma is an extremely uncommon lesion. Here, we present MR imaging findings of a 40-year woman who was admitted to the hospital due to abdominal pain. The patient was evaluated with abdominal Computed Tomography (CT) and Magnetic Resonance Imaging (MRI). Abdominal CT revealed a 13x18 cm large retroperitoneal and cystic mass with polypoid projections. MRI was superior than CT in showing polypoid projections. Contrast enhanced MRI detected enhancement of thin septations and cyst appearance inner the cyst. Diffusion-weighted MRI showed restricted diffusion in the polypoid component with contrast enhancement. Therefore, we thought malignant lesion. The findings of contrast-enhanced CT and MRI were helpful in the diagnosis of those lesions. In addition, diffusionweighted MRI with multiparametric modalities played unlimited role in the assesment of the differential diagnosis.
腹膜后浆液性囊腺癌是一种极其罕见的病变。在此,我们展示了一名因腹痛入院的40岁女性的磁共振成像(MR)表现。患者接受了腹部计算机断层扫描(CT)和磁共振成像(MRI)检查。腹部CT显示一个13×18厘米大的腹膜后囊性肿块,伴有息肉样突起。MRI在显示息肉样突起方面优于CT。对比增强MRI检测到薄分隔和囊肿内部的囊肿外观有强化。扩散加权MRI显示息肉样成分有对比增强的扩散受限。因此,我们认为是恶性病变。对比增强CT和MRI的表现有助于这些病变的诊断。此外,具有多参数模式的扩散加权MRI在鉴别诊断评估中发挥了重要作用。