EURORAD ESR

Case 13139

Pharyngeal desmoid-type fibromatosis in a pediatric patient with Gardner's syndrome

Author(s)
Nuria López Garro, Arantxa Royo Orejas

Hospital Universitario La Paz, Radiology; Paseo La Castellana 261 MADRID Madrid, Spain; Email:nlgarro1104@gmail.com
 
Patient
male, 6 year(s)
 
 
  • Figure 1
    US

    US shows a solid hypoechoic, well-defined lobulated neck mass. The Doppler analysis demonstrates an arterial waveform.

     
    Area of Interest: Head and neck; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    CT

    Axial CT image shows an oropharyngeal well circumscribed, soft tissue mass, with similar attenuation than the muscles, and slight enhancement after contrast administration. The airway is almost completely occupied by...

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    CT

    Coronal CT image depicts the same oropharyngeal soft tissue mass.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    CT

    On this sagittal CT image we can confirm that the mass produces a significant airway reduction.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    MRI

    This T1-weighted coronal image exhibits that the oropharyngeal mass is isointense relative to muscles.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 6
    MRI

    On T2-weighted axial image the mass is heterogeneous, most of it hyperintense.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 7
    MRI

    On STIR images it is an hyperintense solid oropharyngeal mass.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 8
    MRI

    T1-weighted sagittal after contrast administration image manifests a solid, well-circumscribed mass with a homogeneous enhancement.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 9
    MRI

    T1-weighted axial after contrast administration image shows the homogeneous enhancement of the mass.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
US shows a solid hypoechoic, well-defined lobulated neck mass. The Doppler analysis demonstrates an arterial waveform.
 
Axial CT image shows an oropharyngeal well circumscribed, soft tissue mass, with similar attenuation than the muscles, and slight enhancement after contrast administration. The airway is almost completely occupied by the mass.
 
Coronal CT image depicts the same oropharyngeal soft tissue mass.
 
On this sagittal CT image we can confirm that the mass produces a significant airway reduction.
 
This T1-weighted coronal image exhibits that the oropharyngeal mass is isointense relative to muscles.
 
On T2-weighted axial image the mass is heterogeneous, most of it hyperintense.
 
On STIR images it is an hyperintense solid oropharyngeal mass.
 
T1-weighted sagittal after contrast administration image manifests a solid, well-circumscribed mass with a homogeneous enhancement.
 
T1-weighted axial after contrast administration image shows the homogeneous enhancement of the mass.
 
 
 
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