EURORAD ESR

Case 14583

Vulvar leiomyosarcoma in Bartholin's gland

Author(s)
Morandeira C, Isusi M, Bárcena MV, Lecumberri G, Ibañez A.

H.U. de Basurto;
lertegi 12- 3ºA
48930 Bilbao, Spain;
Email:morandeiraclara@gmail.com
 
Patient
female, 50 year(s)
 
 
  • Figure 1
    T2 TSE
     

    Axial T2 TSE. Relative isointense mass centred in the right vulva, replacing the labia majora and showing central areas of hyperintensity (green arrows).

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal T2 TSE. The mass is located in Bartholin's gland area and extends to the right elevator muscle of anus (yellow arrows), without showing invasion.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Sagittal T2 TSE. The lesion is superior to the perineal membrane (orange arrow).

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Axial T1 FSE

    Right vulvar mass of intermediate signal intensity.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Gadolinium-enhanced fat-suppressed axial T1 TSE
     

    Early phase: the mass depicts heterogeneous, mainly peripheral enhancement.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Delayed phase: progressive and heterogeneous fill-in of the lesion.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Diffusion-weighted images
     

    Heterogeneous, high-signal-intensity mass (asterisk) on high b-value DWI.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Heterogeneous, low-signal-intensity mass (asterisk), confirming the restricted diffusion on ADC map.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Axial T2 TSE. Relative isointense mass centred in the right vulva, replacing the labia majora and showing central areas of hyperintensity (green arrows).
 
Coronal T2 TSE. The mass is located in Bartholin's gland area and extends to the right elevator muscle of anus (yellow arrows), without showing invasion.
 
Sagittal T2 TSE. The lesion is superior to the perineal membrane (orange arrow).
 
Right vulvar mass of intermediate signal intensity.
 
Early phase: the mass depicts heterogeneous, mainly peripheral enhancement.
 
Delayed phase: progressive and heterogeneous fill-in of the lesion.
 
Heterogeneous, high-signal-intensity mass (asterisk) on high b-value DWI.
 
Heterogeneous, low-signal-intensity mass (asterisk), confirming the restricted diffusion on ADC map.
 
 
 
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