MR features of isolated uterine relapse in an adolescent with acute lymphoblastic leukaemia.
Relapses of lymphoblastic leukaemia traditionally involve the central nervous system and testes in boys. Involvement of the female pelvic organs is frequently found at autopsy; however, involvement of the cervical uterus is rare and even less commonly symptomatic. A 13-cm uterine mass was discovered in a 15-year-old adolescent with a history of lymphoblastic leukaemia during childhood. Pelvic MRI was the best tool to assess the size, characteristics and invasive nature of this lesion of the uterine cervix. To our knowledge, this is a unique case in that we describe the MRI appearance of a relapsing lymphoblastic leukaemic mass both before and after treatment.
Novellas
Sébastien
S
Medical Imaging Service, Archet 2 Hospital, Regional Hospital Centre and University of Nice, 151 route de Saint Antoine de Ginestière, B.P. 3079, 06202, Nice Cedex 3, France. novellas.s@chu-nice.fr
Fournol
Maude
M
Deville
Anne
A
Kurzenne
Jean-Yves
JY
Geoffray
Anne
A
Chevallier
Patrick
P
D000293:Adolescent; D001706:Biopsy; D003287:Contrast Media; D005260:Female; D019786:Gadolinium DTPA; D006801:Humans; D008279:Magnetic Resonance Imaging; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000473:pathology* / Q000628:therapy; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy
D003287:Contrast Media; D019786:Gadolinium DTPA