PMID- 25373473
OWN - NLM
STAT- MEDLINE
DCOM- 20150518
LR  - 20191210
IS  - 1532-3145 (Electronic)
IS  - 0363-8715 (Linking)
VI  - 39
IP  - 2
DP  - 2015 Mar-Apr
TI  - Primary fallopian tube carcinoma: correlation between magnetic resonance and 
      diffuse weighted imaging characteristics and histopathologic findings.
PG  - 270-5
LID - 10.1097/RCT.0000000000000178 [doi]
AB  - OBJECTIVE: The aim of this study was to investigate the magnetic resonance (MR) 
      and diffusion-weighted (DW) imaging characteristics of primary fallopian tube 
      carcinoma (PFTC). METHODS: The clinical, MR, and DW imaging characteristics and 
      pathologic findings of 23 patients with 27 tumors were studied retrospectively. 
      The MR and DW imaging appearance of tumors including laterality, size and shape, 
      architecture, signal intensity, apparent diffusion coefficient (ADC) value, 
      enhancement pattern, hydrosalpinx, and intrauterine fluid collection were 
      evaluated and correlated with pathologic findings. RESULTS: Histopathologically, 
      all 27 tumors were serous carcinoma with a unilateral tumor in 19 patients and 
      bilateral tumors in 4 patients. Thirteen patients (57%) with PFTC were 
      misdiagnosed preoperatively, 10 of which as epithelial ovarian carcinoma. The 
      mean (SD) largest diameter was 61 (7) mm. The tumor shape was fusiform, 
      sausagelike, or serpentine in 19 patients (70%) and nodular or irregular in 8 
      patients (30%). Twenty (74%) of the 27 tumors were solid, and 7 (26%) were 
      cystic-solid. The solid components showed hypointensity to isointensity on 
      T1-weighted imaging, and isointensity to slight hyperintensity on T2-weighted 
      imaging. There were obvious hyperintensity on DW imaging; obvious hypointensity 
      on ADC maps with a mean (SD) ADC value of 0.79 (0.22) x 10 mm; and mild (8/27, 
      30%), moderate (13/27, 48%), and marked (6/27, 22%) enhancement on 
      contrast-enhanced imaging. Ipsilateral hydrosalpinx, intrauterine fluid 
      collection, and ascites were found in 14 tumors (52%) and 7 (30%) and 5 (22%) 
      patients, respectively. CONCLUSIONS: The PFTC has some characteristic MR imaging 
      features. The DW imaging, ADC maps, and ADC values are helpful for the detection 
      and differentiation of PFTC from other pelvic masses.
FAU - Cai, Song Qi
AU  - Cai SQ
AD  - From the *Department of Radiology, Jinshan Hospital, and Departments of 
      daggerRadiology and double daggerPathology, Obstetrics & Gynecology Hospital, Shanghai Medical 
      College, Fudan University, Shanghai, China.
FAU - Ma, Feng Hua
AU  - Ma FH
FAU - Qiang, Jin Wei
AU  - Qiang JW
FAU - Zhao, Shu Hui
AU  - Zhao SH
FAU - Zhang, Guo Fu
AU  - Zhang GF
FAU - Rao, Ya Min
AU  - Rao YM
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Comput Assist Tomogr
JT  - Journal of computer assisted tomography
JID - 7703942
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Diffusion Magnetic Resonance Imaging
MH  - Fallopian Tube Neoplasms/*pathology
MH  - Female
MH  - Humans
MH  - *Magnetic Resonance Imaging
MH  - Middle Aged
MH  - Retrospective Studies
EDAT- 2014/11/07 06:00
MHDA- 2015/05/20 06:00
CRDT- 2014/11/07 06:00
PHST- 2014/11/07 06:00 [entrez]
PHST- 2014/11/07 06:00 [pubmed]
PHST- 2015/05/20 06:00 [medline]
AID - 10.1097/RCT.0000000000000178 [doi]
PST - ppublish
SO  - J Comput Assist Tomogr. 2015 Mar-Apr;39(2):270-5. doi: 
      10.1097/RCT.0000000000000178.