Metastatic adnexal trophoblastic neoplasm: contribution of MR imaging.
We report a case of pathologically proven metastatic trophoblastic neoplasm involving the adnexa which occurred after dilatation and curettage and chemotherapy. Duplex doppler ultrasound demonstrated increased vascularity in the adnexa. Angiography was sensitive but did not decisively distinguish between tumor in the adnexa and arteriovenous fistula in the uterus. In addition to abnormal vascularity, magnetic resonance also showed foci of abnormal signal in the adnexa not seen in the uterus and correctly suggested the presence of tumor.
Mirich
D R
DR
Department of Diagnostic Radiology, University of Texas M.D. Anderson Hospital and Tumor Institute, Houston 77030.
Hall
J T
JT
Kraft
W L
WL
Santamaria
M
M
Charnsangavej
C
C
D000291:Adnexal Diseases / Q000175:diagnosis*; D000328:Adult; D000792:Angiography; D005260:Female; D005833:Genital Neoplasms, Female / Q000175:diagnosis* / Q000556:secondary; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D012189:Retrospective Studies; D014328:Trophoblastic Neoplasms / Q000175:diagnosis* / Q000556:secondary; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000175:diagnosis*