EURORAD ESR

Case 10945

Adult-type fibrosarcoma in a female patient of 17 years of age

Author(s)
Sarti E, Rossi P, Tarantini G, Raffo L, Iodice V, Giusti S.

Diagnostic and Interventional Radiology,
University of Pisa, Via Roma 67,
56125 Pisa, Italy.
 
Patient
female, 17 year(s)
 
 
  • Figure 1
    MRI findings
     

    Sagittal T2-wt image: solid lesion in the pelvic region, displacing the bladder

     
    Area of Interest: Oncology; Paediatric; Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Sagittal T2-wt image: solid lesion in the pelvic region (14x9,5x12 cm).

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Sagittal T1-wt and T2-wt images: T1-wt image is hypointense, meanwhile T2-wt image is hyperintense

     
    Area of Interest: Oncology; Paediatric; Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Sagittal T2-wt image: pelvic lesion displaced uterus, bladder and rectum

     
    Area of Interest: Oncology; Paediatric; Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial T2-wt images at two different levels: solid lesion of the pelvis displacing surrounding organs.

     
    Area of Interest: Oncology; Paediatric; Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal T2-wt image: craniocaudal extension of the tumour is 137mm

     
    Area of Interest: Oncology; Paediatric; Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial T1-wt images, two different moments after contrast administration: Contrast enhancement(CE) is heterogeneous

     
    Area of Interest: Oncology; Paediatric; Pelvis; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    PET findings

    PET scan: hypercaptation in the pelvic region.

     
    Area of Interest: Pelvis; Imaging Technique: PET; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    CT findings
     

    Axial CT images with CE during venous phase and urologic phase: lesion extension is 80x83 mm, the lesion compresses the distal tract of the left ureter

     
    Area of Interest: Oncology; Paediatric; Pelvis; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Diagnostic procedure; Staging; Special Focus: Neoplasia;

    Coronal and sagittal MPR images: craniocaudal extension of the lesion in 13 cm

     
    Area of Interest: Oncology; Paediatric; Pelvis; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Diagnostic procedure; Treatment effects; Special Focus: Neoplasia;
     
     
  • Figure 4
    CT findings
     

    Axial CT image shows an increase in size of the lesion in the left pelvic region.

     
    Area of Interest: Pelvis; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Sagittal CT image showing increase in size of the lesion

     
    Area of Interest: Pelvis; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    MRI findings
     

    Axial T2-wt image shows the presence of a new lesion in the right pelvic region.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial T2-wt image: extension of the right pelvis lesion is 72x67mm compressing right femoral vessels.

     
    Area of Interest: Oncology; Paediatric; Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Sagittal T2-wt image shows the presence of new lesions, pelvic and in the rectus muscles.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial T2-wt image shows the presence of new lesions

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Metastases;

    Axial T2-wt image: other two nodules near the rectum appeared in this follow-up MRI

     
    Area of Interest: Oncology; Paediatric; Pelvis; Imaging Technique: MR; Procedure: Treatment effects; Special Focus: Neoplasia;
     
     
  • Figure 6
    US findings
     

    US image confirms the presence of the lesion in the right pelvic region.

     
    Area of Interest: Pelvis; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    US image showing a liver nodule.

     
    Area of Interest: Abdomen; Liver; Oncology; Imaging Technique: Ultrasound; Procedure: Treatment effects; Special Focus: Metastases;

    US image showing dilatation of left renal calyces, due to the compression of the left distal ureter

     
    Area of Interest: Abdomen; Kidney; Imaging Technique: Ultrasound; Procedure: Treatment effects; Special Focus: Dilatation;
     
     
Sagittal T2-wt image: solid lesion in the pelvic region, displacing the bladder
 
Sagittal T2-wt image: solid lesion in the pelvic region (14x9,5x12 cm).
 
Sagittal T1-wt and T2-wt images: T1-wt image is hypointense, meanwhile T2-wt image is hyperintense
 
Sagittal T2-wt image: pelvic lesion displaced uterus, bladder and rectum
 
Axial T2-wt images at two different levels: solid lesion of the pelvis displacing surrounding organs.
 
Coronal T2-wt image: craniocaudal extension of the tumour is 137mm
 
Axial T1-wt images, two different moments after contrast administration: Contrast enhancement(CE) is heterogeneous
 
PET scan: hypercaptation in the pelvic region.
 
Axial CT images with CE during venous phase and urologic phase: lesion extension is 80x83 mm, the lesion compresses the distal tract of the left ureter
 
Coronal and sagittal MPR images: craniocaudal extension of the lesion in 13 cm
 
Axial CT image shows an increase in size of the lesion in the left pelvic region.
 
Sagittal CT image showing increase in size of the lesion
 
Axial T2-wt image shows the presence of a new lesion in the right pelvic region.
 
Axial T2-wt image: extension of the right pelvis lesion is 72x67mm compressing right femoral vessels.
 
Sagittal T2-wt image shows the presence of new lesions, pelvic and in the rectus muscles.
 
Axial T2-wt image shows the presence of new lesions
 
Axial T2-wt image: other two nodules near the rectum appeared in this follow-up MRI
 
US image confirms the presence of the lesion in the right pelvic region.
 
US image showing a liver nodule.
 
US image showing dilatation of left renal calyces, due to the compression of the left distal ureter
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version