HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Utsunomiya, D. Articles by Yamashita, Y. Search for Related Content PubMed PubMed Citation Articles by Utsunomiya, D. Articles by Yamashita, Y. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?

Endometrial Carcinoma in Adenomyosis: Assessment of Myometrial Invasion on T2-Weighted Spin-Echo and Gadolinium-Enhanced T1-Weighted Images

¹ Department of Radiology, Kumamoto University School of Medicine, 1-1-1, Honjo, Kumamoto, Kumamoto 860-8556, Japan.
² Department of Obstetrics and Gynecology, Kumamoto University School of Medicine, Kumamoto 860-8556, Japan.
³ Department of Radiology, Kinki University School of Medicine, 377-2, Ohnohigashi Hazayama, Osaka 589-8511, Japan.

View larger version (184K): [in a new window]   Fig. 1A. —62-year-old woman with superficial (20%) invasion of myometrium by endometrial cancer coexisting with adenomyosis. Sagittal T2-weighted image shows thickening of junctional zone. Border (arrows) between tumor and dorsal myometrium is indistinguishable.

View larger version (149K): [in a new window]   Fig. 1B. —62-year-old woman with superficial (20%) invasion of myometrium by endometrial cancer coexisting with adenomyosis. Dynamic MRI obtained before contrast enhancement shows no tumor–myometrium contrast.

View larger version (142K): [in a new window]   Fig. 1C. —62-year-old woman with superficial (20%) invasion of myometrium by endometrial cancer coexisting with adenomyosis. Contrast-enhanced dynamic MRIs obtained during early phase (C) and delayed phase (D) show tumor as slightly enhanced lesion in endometrial cavity that contrasts well with well-enhanced myometrium. Marked enhancement of inner layer of myometrium (arrows) can be seen during early phase (C). Contrast between tumor and myometrium is better on contrast-enhanced images than on unenhanced images (B). Abnormal signal intensity of tumor is confined to inner half of myometrium.

View larger version (148K): [in a new window]   Fig. 1D. —62-year-old woman with superficial (20%) invasion of myometrium by endometrial cancer coexisting with adenomyosis. Contrast-enhanced dynamic MRIs obtained during early phase (C) and delayed phase (D) show tumor as slightly enhanced lesion in endometrial cavity that contrasts well with well-enhanced myometrium. Marked enhancement of inner layer of myometrium (arrows) can be seen during early phase (C). Contrast between tumor and myometrium is better on contrast-enhanced images than on unenhanced images (B). Abnormal signal intensity of tumor is confined to inner half of myometrium.

View larger version (143K): [in a new window]   Fig. 2A. —47-year-old woman with deep (90%) myometrial invasion by endometrial cancer in adenomyosis. Sagittal T2-weighted image shows low-signal-intensity mass (arrows) in dorsal wall, but assessing myometrial invasion is difficult.

View larger version (136K): [in a new window]   Fig. 2B. —47-year-old woman with deep (90%) myometrial invasion by endometrial cancer in adenomyosis. Dynamic MRI obtained before contrast enhancement shows no tumor–myometrium contrast.

View larger version (153K): [in a new window]   Fig. 2C. —47-year-old woman with deep (90%) myometrial invasion by endometrial cancer in adenomyosis. Contrast-enhanced dynamic MRI obtained during early phase shows marked enhancement of inner layer of myometrium. Tumor (arrows) interrupts well-enhanced inner layer of myometrium (arrowhead).

View larger version (146K): [in a new window]   Fig. 2D. —47-year-old woman with deep (90%) myometrial invasion by endometrial cancer in adenomyosis. Contrast-enhanced dynamic MRI obtained during delayed phase shows poor tumor–myometrium contrast.

View larger version (179K): [in a new window]   Fig. 3A. —54-year-old woman with deep (95%) myometrial invasion by endometrial cancer arising from adenomyosis that was confirmed at pathology. Sagittal T2-weighted image shows slightly high-signal-intensity mass (arrow) in dorsal wall extending to outer myometrium.

View larger version (166K): [in a new window]   Fig. 3B. —54-year-old woman with deep (95%) myometrial invasion by endometrial cancer arising from adenomyosis that was confirmed at pathology. Dynamic MRI obtained before contrast enhancement shows poor tumor–myometrium contrast.

View larger version (159K): [in a new window]   Fig. 3C. —54-year-old woman with deep (95%) myometrial invasion by endometrial cancer arising from adenomyosis that was confirmed at pathology. Contrast-enhanced dynamic MRIs in early phase (C) and delayed phase (D) show extension of mass to outer myometrium. During early phase (C), tumor (arrows) contrasts well with well-enhanced inner layer of myometrium (arrowhead, C). Well-enhanced inner layer is interrupted by tumor.

View larger version (183K): [in a new window]   Fig. 3D. —54-year-old woman with deep (95%) myometrial invasion by endometrial cancer arising from adenomyosis that was confirmed at pathology. Contrast-enhanced dynamic MRIs in early phase (C) and delayed phase (D) show extension of mass to outer myometrium. During early phase (C), tumor (arrows) contrasts well with well-enhanced inner layer of myometrium (arrowhead, C). Well-enhanced inner layer is interrupted by tumor.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati