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Xanthogranulomatous Oophoritis

MR Imaging Findings with Pathologic Correlation

Seung Eun Jung1, Jae Mun Lee1, Kyo-Young Lee2, Ku Taek Han3 and Seong Tai Hahn1

1 Department of Radiology, St. Mary's Hospital, The Catholic University of Korea, #62 Youido-dong Yongdungpo-gu, Seoul 150-713, Korea.
2 Department of Clinical Pathology, St. Mary's Hospital, The Catholic University of Korea, Seoul 150-713, Korea.
3 Department of Obstetrics and Gynecology, St. Mary's Hospital, The Catholic University of Korea, Seoul 150-713, Korea.



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Fig. 1A. 48-year-old woman with xanthogranulomatous oophoritis. Axial T2-weighted turbo spin-echo MR image (TR/TE, 3900/99) (A) and axial T2-weighted image obtained 15 mm caudad to A(B) reveal right-sided xanthogranulomatous oophoritis (solid arrows) with high signal intensity (similar to that of water) and multiple low-signal-intensity internal septations. Lesion shows unevenly thickened wall with multiple clustered hyperintense nodules (arrowheads). Left-sided hemorrhagic cyst (open arrows) shows three chambers with high signal intensity.

 


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Fig. 1B. 48-year-old woman with xanthogranulomatous oophoritis. Axial T2-weighted turbo spin-echo MR image (TR/TE, 3900/99) (A) and axial T2-weighted image obtained 15 mm caudad to A(B) reveal right-sided xanthogranulomatous oophoritis (solid arrows) with high signal intensity (similar to that of water) and multiple low-signal-intensity internal septations. Lesion shows unevenly thickened wall with multiple clustered hyperintense nodules (arrowheads). Left-sided hemorrhagic cyst (open arrows) shows three chambers with high signal intensity.

 


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Fig. 1C. 48-year-old woman with xanthogranulomatous oophoritis. Axial T1-weighted spin-echo MR image (800/12) shows right-sided xanthogranulomatous oophoritis (arrows) with low signal intensity and left-sided hemorrhagic cyst (arrowheads) with different signal in each chamber.

 


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Fig. 1D. 48-year-old woman with xanthogranulomatous oophoritis. On fat-suppressed T1-weighted MR image obtained after gadolinium enhancement, right-sided xanthogranulomatous oophoritis shows marked enhancement of thickened wall (arrowheads) and multiple clustered unenhanced intramural nodules (arrows).

 


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Fig. 1E. 48-year-old woman with xanthogranulomatous oophoritis. Photograph of histopathologic specimen of right-sided xanthogranulomatous oophoritis shows yellowish intramural nodules (arrows) representing xanthogranuloma within thickened wall.

 


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Fig. 1F. 48-year-old woman with xanthogranulomatous oophoritis. Photomicrograph of histopathologic specimen shows abundant foamy histiocytes, multinucleated giant cells, and chronic inflammatory cells. (H and E, x100)

 

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