Intravascular papillary endothelial hyperplasia of the extremities: MR imaging findings with pathologic correlation.
We report the MRI findings of three cases of intravascular papillary endothelial hyperplasia (IPEH) of the extremities with correlation of the pathologic findings. The IPEH is a non-neoplastic reactive lesion within the vessels and is commonly associated with thrombi. Signal intensity of the IPEH is complex due to the thrombi and the PEH itself. The thrombi are characterized by a slightly hyperintense signal on T1- and T2-weighted images compared with that of muscle when it comes at the medium stage of hemorrhage. Papillary endothelial hyperplastic tissue appears either as iso- or hyperintense to the muscle on T2- and T1-weighted images and shows variable enhancement on Gd-DTPA-enhanced images.
Lee
Sang Hoon
SH
Department of Diagnostic Radiology, Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, 132 Shinchondong, Seodaemoon-gu, 120-752 Seoul, Korea.
Suh
Jin-Suck
JS
Lim
Byung Il
BI
Yang
Woo Ick
WI
Shin
Kyoo-Ho
KH
D000293:Adolescent; D000328:Adult; D000368:Aged; D003287:Contrast Media / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004730:Endothelium, Vascular / Q000473:pathology*; D005121:Extremities / Q000098:blood supply* / Q000473:pathology* / Q000601:surgery; D005260:Female; D019786:Gadolinium DTPA; D006391:Hemangioma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006394:Hemangiosarcoma / Q000175:diagnosis; D006801:Humans; D006965:Hyperplasia / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D016491:Peripheral Vascular Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery
D003287:Contrast Media; D019786:Gadolinium DTPA