Magnetic resonance imaging in the preoperative determination of tumor resectability in previously irradiated groin tumor.
We present an unusual case in which magnetic resonance (MR) imaging was utilized in the preoperative determination of resectability of a large inguinal tumor. The patient had previously presented with a large fungating, surgically nonresectable mass, which impinged upon the anterior ramus of the pubic bone. Following chemotherapy and radiation, the mass appeared more mobile and surgically resectable. Due to fibrosis and induration, the relationship of the tumor and underlying femoral vascular bundle were unclear. MR imaging clearly depicted that the tumor was sufficiently distant from the vessels, to allow safe resection with an adequate surgical margin. Resection was performed with clear lateral and deep margins. Histopathology demonstrated squamous cell carcinoma of the inguinal skin replacing subcutaneous tissue.
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, State University of New York, Health and Science Center at Brooklyn, NY 11203, USA.
O
O
Abulafia
R
R
Matthews
K
K
Holcomb
A
A
Buhl
Y C
YC
Lee
D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000532:radiotherapy / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006119:Groin; D006801:Humans; D007264:Inguinal Canal / Q000473:pathology* / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008875:Middle Aged; D011300:Preoperative Care; D012680:Sensitivity and Specificity; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000532:radiotherapy / Q000601:surgery*; D016896:Treatment Outcome