关键词: Wolffian tumor female adnexal tumor magnetic resonance imaging ovarian tumor

来  源:   DOI:10.2478/abm-2024-0012   PDF(Pubmed)

Abstract:
UNASSIGNED: Wolffian tumors in females are rare gynecological neoplasms, with fewer than 100 cases reported. Existing literature primarily focuses on the pathology, and reports involving imaging are limited.
UNASSIGNED: This study presents a case of Wolffian tumor, emphasizing its magnetic resonance imaging (MRI) characteristics to enhance preoperative diagnostic accuracy.
UNASSIGNED: A 56-year-old woman presented with a year-long history of irregular vaginal bleeding. MRI revealed a solid mass in the right adnexal region. On T2-weighted images, the mass exhibited slightly elevated signal intensity with a distinctive low-signal intensity rim. Diffusion-weighted imaging displayed markedly increased signal intensity, and the contrast enhancement was moderate. The patient underwent laparoscopic right adnexectomy and received a Wolffian tumor diagnosis. No recurrence was observed during a 6-month follow-up.
UNASSIGNED: Wolffian tumors exhibit distinctive MRI presentations. Notably, the prominent low-signal intensity rim on MRI may aid in accurate preoperative tumor diagnosis.
摘要:
女性的沃尔夫肿瘤是罕见的妇科肿瘤,报告的病例不到100例。现有文献主要集中在病理学上,涉及成像的报告有限。
本研究提供一例沃尔夫肿瘤,强调其磁共振成像(MRI)的特点,以提高术前诊断的准确性。
一名56岁女性,有一年的不规则阴道出血病史。MRI显示右侧附件区域有实体肿块。在T2加权图像上,肿块表现出轻微的信号强度升高,具有明显的低信号强度边缘。扩散加权成像显示信号强度明显增加,对比度增强中等。该患者接受了腹腔镜右附件切除术,并接受了Wolffian肿瘤诊断。在6个月的随访中没有观察到复发。
沃尔夫肿瘤表现出独特的MRI表现。值得注意的是,MRI上突出的低信号强度边缘可能有助于准确的术前肿瘤诊断。
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