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Dermatofibrosarcoma Protuberans

MR Imaging Features

William C. Torreggiani1, Khalid Al-Ismail1, Peter L. Munk1, Savvas Nicolaou1, John X. O'Connell2 and Margaret A. Knowling3

1 Department of Radiology, Vancouver General Hospital, University of British Columbia, 899 W. 12th Ave., Vancouver, B. C., V5Z 1M9 Canada.
2 Department of Pathology, Vancouver General Hospital, University of British Columbia, Vancouver, B. C., V5Z 1M9 Canada.
3 Department of Oncology, British Columbia Cancer Agency, 600 W. 10th Ave., Vancouver, B. C., V5Z 4E6 Canada.



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Fig. 1A. 43-year-old woman with 8-cm mass involving lateral aspect of right thigh. Tumor had grown gradually over many years. Coronal T1-weighted MR image (TR/TE, 550/16) shows 8-cm mass (arrow) of low signal intensity that involves vastus lateralis, rectus femoris, and lateral part of vastus intermedius.

 


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Fig. 1B. 43-year-old woman with 8-cm mass involving lateral aspect of right thigh. Tumor had grown gradually over many years. Axial fast spin-echo T2-weighted MR image (TR/TEeff, 4,000/80) shows mass to have heterogeneous areas of both intermediate and high signal intensities.

 


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Fig. 2A. 35-year-old man with unusually deep dermatofibrosarcoma protuberans. Coronal T1-weighted spin-echo MR image (TR/TE, 800/16) shows 4-cm well-defined mass of slightly higher signal to muscle deep in right chest wall protruding between ribs.

 


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Fig. 2B. 35-year-old man with unusually deep dermatofibrosarcoma protuberans. Coronal short tau inversion recovery image (2,000/16; inversion time, 150 msec) shows mass of uniform high signal.

 


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Fig. 3A. 44-year-old man with recurrent dermatofibrosarcoma of shoulder. Sagittal T1-weighted spin-echo image (TR/TE, 800/24) shows 3.5-cm mass (arrow) at site of previous resection. Mass is of slightly higher signal than that of adjacent muscle and protrudes through skin.

 


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Fig. 3B. 44-year-old man with recurrent dermatofibrosarcoma of shoulder. Axial short tau inversion recovery image (4,000/32; inversion time, 150 msec) shows mass of uniform high signal.

 


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Fig. 4A. 39-year-old woman with anteriorly located superficial mass in thigh. Axial T1-weighted image (TR/TE, 800/18) shows 4.5-cm well-defined mass of uniform signal, similar to that of adjacent muscle (straight arrow). Note two small satellite lesions (curved arrows).

 


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Fig. 4B. 39-year-old woman with anteriorly located superficial mass in thigh. Axial fast spin-echo T2-weighted image (TR/TEeff, 6,000/84) shows principal lesion of intermediate signal, similar to that in adjacent fat.

 


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Fig. 5A. 45-year-old man with recurrent dermatofibrosarcoma protuberans of superficial portion of back. Axial T1-weighted image (TR/TE, 800/16) shows 2.5-cm mass (arrow) of uniform signal, similar to that in adjacent muscle.

 


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Fig. 5B. 45-year-old man with recurrent dermatofibrosarcoma protuberans of superficial portion of back. Axial T1-weighted image (800/16) after gadolinium infusion shows patchy central enhancement of mass (arrow).

 


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Fig. 5C. 45-year-old man with recurrent dermatofibrosarcoma protuberans of superficial portion of back. Axial short tau inversion recovery sequence (2,000/16; inversion time, 150 msec) shows well-defined mass of high signal.

 

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