EURORAD ESR

Case 13519

Vaginal recurrence of previously resected uterine carcinoma: MRI findings

Author(s)
Tonolini Massimo, M.D.

"Luigi Sacco" University Hospital,
Radiology Department;
Via G.B. Grassi 74
20157 Milan, Italy;
Email:mtonolini@sirm.org
 
Patient
female, 91 year(s)
 
 
  • Figure 1
    Initial unenhanced and post-gadolinium MRI
     

    Midline sagittal T2-weighted image showed absent uterus from previous surgery, a well-demarcated ovoid mass (arrows) measuring 28x11mm with moderately hyperintense signal, occupying most of the vagina. Note uninvolved...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;

    The vaginal mass lesion (arrows) showed slightly increased T1 signal intensity compared to muscles (b), moderately hyperintense T2 signal (c,d), and did not trespass the T2-hypointense peripheral vaginal contour...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;

    The vaginal mass lesion (arrows) showed moderately hyperintense T2 signal (c,d), and did not trespass the T2-hypointense peripheral vaginal contour (thin arrows in d). Note urethra (arrowhead).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;

    The vaginal mass lesion (arrows) showed moderately hyperintense T2 signal (c,d), and did not trespass the T2-hypointense peripheral vaginal contour (thin arrows in d). Note urethra (arrowhead).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;

    On fat-suppressed T2-weighted images, the vaginal mass lesion (arrow) showed hyperintense T2 signal and did not trespass the T2-hypointense peripheral vaginal contour (thin arrows).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;

    After intravenous gadolinium, sagittal (f) and axial fat-suppressed (g) T1-weighted images did not show significant contrast enhancement at the vaginal mass (arrows).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;

    After intravenous gadolinium, sagittal (f) and axial fat-suppressed (g) T1-weighted images did not show significant contrast enhancement at the vaginal mass. Note peripheral vaginal contour (thin arrows), urethra...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;
     
     
  • Figure 2
    Post-radiotherapy follow-up unenhanced MRI four months later
     

    Midline sagittal T2-weighted image showed complete disappearance of the vaginal mass lesion. Note normal aspect of the vagina (thin arrows); urethra (arrowheads).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;

    Axial unsuppressed (b) and fat-suppressed (c) T2-weighted images showed complete disappearance of the vaginal mass lesion. Note normal aspect of the vagina (thin arrows); urethra (arrowheads).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;

    Axial unsuppressed (b) and fat-suppressed (c) T2-weighted images showed complete disappearance of the vaginal mass lesion. normal aspect of the vagina (thin arrows); urethra (arrowheads).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;
     
     
Midline sagittal T2-weighted image showed absent uterus from previous surgery, a well-demarcated ovoid mass (arrows) measuring 28x11mm with moderately hyperintense signal, occupying most of the vagina. Note uninvolved urethra (arrowhead).
 
The vaginal mass lesion (arrows) showed slightly increased T1 signal intensity compared to muscles (b), moderately hyperintense T2 signal (c,d), and did not trespass the T2-hypointense peripheral vaginal contour (thin arrows in d).
 
The vaginal mass lesion (arrows) showed moderately hyperintense T2 signal (c,d), and did not trespass the T2-hypointense peripheral vaginal contour (thin arrows in d). Note urethra (arrowhead).
 
The vaginal mass lesion (arrows) showed moderately hyperintense T2 signal (c,d), and did not trespass the T2-hypointense peripheral vaginal contour (thin arrows in d). Note urethra (arrowhead).
 
On fat-suppressed T2-weighted images, the vaginal mass lesion (arrow) showed hyperintense T2 signal and did not trespass the T2-hypointense peripheral vaginal contour (thin arrows).
 
After intravenous gadolinium, sagittal (f) and axial fat-suppressed (g) T1-weighted images did not show significant contrast enhancement at the vaginal mass (arrows).
 
After intravenous gadolinium, sagittal (f) and axial fat-suppressed (g) T1-weighted images did not show significant contrast enhancement at the vaginal mass. Note peripheral vaginal contour (thin arrows), urethra (arrowhead).
 
Midline sagittal T2-weighted image showed complete disappearance of the vaginal mass lesion. Note normal aspect of the vagina (thin arrows); urethra (arrowheads).
 
Axial unsuppressed (b) and fat-suppressed (c) T2-weighted images showed complete disappearance of the vaginal mass lesion. Note normal aspect of the vagina (thin arrows); urethra (arrowheads).
 
Axial unsuppressed (b) and fat-suppressed (c) T2-weighted images showed complete disappearance of the vaginal mass lesion. normal aspect of the vagina (thin arrows); urethra (arrowheads).
 
 
 
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