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The Magnetic Resonance (MR) Imaging Features of Myxoid Liposarcoma Arising from the Mesentery: a Case Report

  • Ahn, Taehoon (Department of Radiology, Wonkwang University Hospital) ;
  • Lee, Young Hwan (Department of Radiology, Wonkwang University Hospital) ;
  • Lee, Guy Mok (Department of Radiology, Wonkwang University Hospital) ;
  • Kim, Youe Ree (Department of Radiology, Wonkwang University Hospital) ;
  • Yoon, Kwon-Ha (Department of Radiology, Wonkwang University Hospital)
  • 투고 : 2017.04.23
  • 심사 : 2017.08.11
  • 발행 : 2017.12.30

초록

Primary mesenteric liposarcoma is rare. It is difficult to make an accurate preoperative diagnosis of the myxoid type of liposarcoma by using imaging such as ultrasound or computed tomography (CT) due to the very small amount of fat that is located in the tumor. We report a case of primary myxoid liposarcoma of the mesentery which was difficult to differentiate from other solid mesenteric tumors with a myxoid component such as low grade fibromyxoid sarcoma, myxoid leiomyosarcoma or myxoma. Use of chemical shift magnetic resonance (MR) imaging to detect small fat components and its cystic appearance with solid components on the MR images can be useful to differentiate myxoid liposarcoma from the other mesenteric tumors with a myxoid component.

키워드

참고문헌

  1. Fletcher CDM, Bridge JA, Hogendoorn P, Mertens F. WHO classification of tumours of soft tissue and bone. 4th ed. Lyon: IARC, 2013
  2. Jain SK, Mitra A, Kaza RC, Malagi S. Primary mesenteric liposarcoma: an unusual presentation of a rare condition. J Gastrointest Oncol 2012;3:147-150
  3. Dufay C, Abdelli A, Le Pennec V, Chiche L. Mesenteric tumors: diagnosis and treatment. J Visc Surg 2012;149: e239-251 https://doi.org/10.1016/j.jviscsurg.2012.05.005
  4. Sung MS, Kang HS, Suh JS, et al. Myxoid liposarcoma: appearance at MR imaging with histologic correlation. Radiographics 2000;20:1007-1019 https://doi.org/10.1148/radiographics.20.4.g00jl021007
  5. Shin NY, Kim MJ, Chung JJ, Chung YE, Choi JY, Park YN. The differential imaging features of fat-containing tumors in the peritoneal cavity and retroperitoneum: the radiologicpathologic correlation. Korean J Radiol 2010;11:333-345 https://doi.org/10.3348/kjr.2010.11.3.333
  6. Murphey MD, Arcara LK, Fanburg-Smith J. From the archives of the AFIP: imaging of musculoskeletal liposarcoma with radiologic-pathologic correlation. Radiographics 2005;25:1371-1395 https://doi.org/10.1148/rg.255055106
  7. Alatise OI, Oke OA, Olaofe OO, Omoniyi-Esan GO, Adesunkanmi AR. A huge low-grade fibromyxoid sarcoma of small bowel mesentery simulating hyper immune splenomegaly syndrome: a case report and review of literature. Afr Health Sci 2013;13:736-740
  8. Petscavage-Thomas JM, Walker EA, Logie CI, Clarke LE, Duryea DM, Murphey MD. Soft-tissue myxomatous lesions: review of salient imaging features with pathologic comparison. Radiographics 2014;34:964-980 https://doi.org/10.1148/rg.344130110
  9. Sheth S, Horton KM, Garland MR, Fishman EK. Mesenteric neoplasms: CT appearances of primary and secondary tumors and differential diagnosis. Radiographics 2003;23: 457-473; quiz 535-456 https://doi.org/10.1148/rg.232025081
  10. Ishiguro S, Yamamoto S, Chuman H, Moriya Y. A case of resected huge ileocolonic mesenteric liposarcoma which responded to pre-operative chemotherapy using doxorubicin, cisplatin and ifosfamide. Jpn J Clin Oncol 2006;36:735-738 https://doi.org/10.1093/jjco/hyl087