Hasan YERLİ, E. Turgut TALI, Derya ÇİÇEK, Yücel Seçil EKŞİOĞLU, Tokgöz Nil ERCAN

Magnetic resonance imaging findings in desmoid tumors

Agresifflbromatozlar olarak da bilinen desmoid tümörler ender rastlanan, yavaş büyüyen lokal olarak agresif yumuşak doku lezyonlandır. Abdominal duvar en sık rastlanan lokalizasyonlardan biridir. Ancak boyun tutulumu nadirdir. Biz burada biri abdominal duvarda diğeri ise boyunda yerleşik iki desmoid tümör vakasında saptanan MRG bulgularını ve MRG'nin tamdaki değerini tartıştık. Özellikle boyun desmoidlerinde MRG lezyonun uzanımını ve kontrast tutulumunu göstermedeki bilinen üstünlüğü nedeniyle preoperatif değerlendirmede ilk tercih haline gelmiştir..

Desmoid tümörlerde magnetik rezonans görüntüleme bulguları

Desmoid tumors, also known as aggressive fibromatoses, are uncommon, slow-growing, locally aggressive soft tissue lesions. The abdominal wall is one of the most common sites of presentation, but it may be seen in the neck in rare cases. The magnetic resonance imaging (MRI) findings of two desmoid tumor cases, one located in the neck and the other in the abdominal wall, and the value of MRI in the diagnosis is discussed. MRI is the first choice in the preoperative evaluation of neck desmoids due to its known superiority in showing the extent of a tumor and its contrast enhancement.

PDF

___

1. Putm.ui CE. Ravin CE. Textbook of diagnostic imaging. 2nd ed. Philadelphia: W.B. Saunders Company: 1994. p.1539-1544.
2. Hoos A Lewis JJ, Urist MJ, Shaka AR, Hawkins WO, Shah JP, Bretinan MF. Desmoids tumors of the head and neck-A clinical study of a rare entity. Head Neck 2000; 22: 814-821.
3. Ackman JB, Whitman GJ, Chew FS. Assressive Fibromatosis. AIR 1994; 163: 544.
4. Quiel V. Desmoid tumor of the breast. Zentralbl Gynakol. 2000; 122: 433-435.
5. Koçak Z, Adil M, Erdir Ö, Erekul S, Çakmak A. Intrathoracic desmoid tumor of the posterior mediastinum with transdiaphragmatic extension: Report of a case. Tumori. 2000; 86: 488-491.
6. Goda F, Matsushita K, Kuwabara H, Usuki H. Maeba T. Maeta H. Recurrent mesenteric desmoid tumours with multiple peritoneal dissemination: A case report and review of desmoid in Japan. Hepatogastroentrology. 1999: Sep-Oct.; 2891-2893.
7. Lambroîa A Tıghe MK. DeCosse JJ, Dannenberg AJ Disorders of the rectus abdominus muscle and sheath: A 22-year experience. Am J Gastroenterol 1995: 89: 13131317.
8. Çitfçi E Erden I, Koral K, Akyar S. MR imaging in a desmoid tumor of the posterior mediastenium with extension into the abdominal cavity. A case report. Acta Radial. 1998;39:301-303.
9. Kaplan DB, Levine EA: Desmoid tumour arising in a laparoscopic trocar site. Am Surg 1998 64: 388-390.
10. Shimizu Kawaura Y, Tatsuzawa Y, Maeda K Oda M. Desmoid tumor of the chest wallfollowing chest surgery: Report of a case. Surg Today 1999; 29: 945-947.
11. Enzinger FM, Weiss SW. Fibromatoses in soft tissue tumors. 3rd ed. St. Louis: Mosby-year book: 1995. p. 201229.
12. Alman BA, Pajerski ME, Diaz-Cano S. Corboy K, Wolfe HJ. Aggressive, fibromatosis (desmoid tumor) is amonoclonal disorder. Diag. Mol. Pathol. 1997; 6: 98101.
13. Einstein DM, Tağliabue JR. Desai RK. Abdominal desmoids: CT findings in 25 patients. AJR 1991: 157: 275-279.
14. Healy JC, Reznek HR. Clark SK, Phillips RKS, Armstrong P MR appearances of desmoid tumours in familial adenomatous polyposis. AJR 1997: 169: 465472.