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Case Reports
. 2009;64(3):264-9.
doi: 10.1590/s1807-59322009000300020.

MR imaging features of peritoneal adenomatoid mesothelioma: a case report

Case Reports

MR imaging features of peritoneal adenomatoid mesothelioma: a case report

Cynthia Maria Coelho Lins et al. Clinics (Sao Paulo). 2009.
No abstract available

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Figures

Figure 1
Figure 1
Transvaginal pelvic ultrasound images (A,B) showed a complex retrouterine mass with a homogeneous solid component (*, B) and cystic areas (arrowhead, A) intermingled with linear septa (arrow, A)
Figure 2
Figure 2
Pelvic MR exam. Axial GRE T1-weighted (A), axial TSE 512 T2-weighted (B), sagittal post-contrast GRE T1-weighted image and (D) sagittal TSE T2-weighted images. There is a large, expansive, well-delimited lesion with lobulated contours; the T1-weighted sequence shows homogeneous signal intensity predominately with a low signal, and T2-weighted sequences are heterogeneous with small high-intensity foci (arrow). The lesion dislocated the ovaries (arrowheads, B) anterolaterally and the uterus (*, A,C and D) anteriorly. After intravenous injection of paramagnetic contrast agent, there was a heterogeneous enhancement of the lesion that was more evident peripherally (arrowheads, C)
Figure 3
Figure 3
Computed tomography with no intravenous contrast agent revealed that there was no calcification within the mass (arrows)
Figure 4
Figure 4
The histopathologic section shows calretinin staining for well-differentiated mesothelial cells (*), which confirms the mesothelial origin of the tumor
Figure 5
Figure 5
Follow-up pelvic MR exam. Axial TSE T2-weighted (A) and post-contrast axial GRE T1-weighted (B) images show a retrouterine, large, well-delimited cystic lesion with internal post-contrast-enhanced nodules (arrows) and partial septations (arrowhead). This lesion was surgically excised and histopathologically confirmed as to be a recidivate mesothelioma (u, uterus)

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