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Primary Fallopian Tube Carcinoma

Correlation Between Magnetic Resonance and Diffuse Weighted Imaging Characteristics and Histopathologic Findings

Cai, Song Qi MD*; Ma, Feng Hua MD*; Qiang, Jin Wei MD, PhD*; Zhao, Shu Hui MD*; Zhang, Guo Fu MD, PhD; Rao, Ya Min MD

Journal of Computer Assisted Tomography: March/April 2015 - Volume 39 - Issue 2 - p 270–275
doi: 10.1097/RCT.0000000000000178
Abdominal Imaging
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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) × 10−3 mm2; 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.

From the *Department of Radiology, Jinshan Hospital, and Departments of †Radiology and ‡Pathology, Obstetrics & Gynecology Hospital, Shanghai Medical College, Fudan University, Shanghai, China.

Received for publication July 28, 2014; accepted October 7, 2014.

Reprints: Jin Wei Qiang, MD, PhD, Department of Radiology, Jinshan Hospital, Shanghai Medical College, Fudan University, Shanghai 201508, China (e-mail: dr.jinweiqiang@163.com).

Supported by grants from Shanghai Municipal Commission of Science & Technology (no. 124119a3300) and Shanghai Municipal Commission of Health and Family Planning (nos. 2013SY075 and ZK2012A16).

The authors declare no conflict of interest.

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