Diagnosis of Ovarian Metastasis from Gestational Trophoblastic Neoplasia by 3D Power Doppler Ultrasound and Dynamic Contrast-Enhanced Magnetic Resonance Imaging: Case Report
Choriocarcinoma is a highly malignant disease of trophoblastic cells, which affects young women in the reproductive years. The main sites of metastasis from choriocarcinoma are lung, vagina, liver, gastrointestinal tract and kidneys, and the involvement of the ovaries is extremely rare. The diagnosi...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2012-07-01
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| Series: | Case Reports in Oncology |
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| Online Access: | http://www.karger.com/Article/FullText/341256 |
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| author | E. Araujo Júnior S.Y. Sun F.F. Campanharo D.C. Nacaratto L.M.M. Nardozza R. Mattar V.V. Habib A.F. Moron |
| author_facet | E. Araujo Júnior S.Y. Sun F.F. Campanharo D.C. Nacaratto L.M.M. Nardozza R. Mattar V.V. Habib A.F. Moron |
| author_sort | E. Araujo Júnior |
| collection | DOAJ |
| description | Choriocarcinoma is a highly malignant disease of trophoblastic cells, which affects young women in the reproductive years. The main sites of metastasis from choriocarcinoma are lung, vagina, liver, gastrointestinal tract and kidneys, and the involvement of the ovaries is extremely rare. The diagnosis of ovarian metastasis is made mainly by two-dimensional ultrasonography (2DUS) with color Doppler, which shows a large vessel in the center of the mass. The three-dimensional power Doppler ultrasound (3D power Doppler) and dynamic contrast-enhanced magnetic resonance imaging (MRI) are new diagnostic modalities not yet published in literature. We report a case of metastatic choriocarcinoma with left ovary involvement in a 48-year-old woman with history of molar pregnancy and irregular follow-up of this disease. We emphasize the main findings by 2DUS with color Doppler, 3D power Doppler and dynamic contrast-enhanced MRI. 3D power Doppler is able to improve the assessment of anatomical relationships of vessels with the ovarian mass, while the resonance angiography allows us to evaluate the anatomic relations of the mass and adjacent structures, as well as the iliac vessels. The 3D power Doppler and dynamic contrast-enhanced MRI are promising methods in the evaluation of metastasis arising from gestational trophoblastic tumors. |
| first_indexed | 2024-12-12T04:32:08Z |
| format | Article |
| id | doaj.art-f69e4f495a60442ba30f574e82c6dc41 |
| institution | Directory Open Access Journal |
| issn | 1662-6575 |
| language | English |
| last_indexed | 2024-12-12T04:32:08Z |
| publishDate | 2012-07-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Oncology |
| spelling | doaj.art-f69e4f495a60442ba30f574e82c6dc412022-12-22T00:38:04ZengKarger PublishersCase Reports in Oncology1662-65752012-07-015235936610.1159/000341256341256Diagnosis of Ovarian Metastasis from Gestational Trophoblastic Neoplasia by 3D Power Doppler Ultrasound and Dynamic Contrast-Enhanced Magnetic Resonance Imaging: Case ReportE. Araujo JúniorS.Y. SunF.F. CampanharoD.C. NacarattoL.M.M. NardozzaR. MattarV.V. HabibA.F. MoronChoriocarcinoma is a highly malignant disease of trophoblastic cells, which affects young women in the reproductive years. The main sites of metastasis from choriocarcinoma are lung, vagina, liver, gastrointestinal tract and kidneys, and the involvement of the ovaries is extremely rare. The diagnosis of ovarian metastasis is made mainly by two-dimensional ultrasonography (2DUS) with color Doppler, which shows a large vessel in the center of the mass. The three-dimensional power Doppler ultrasound (3D power Doppler) and dynamic contrast-enhanced magnetic resonance imaging (MRI) are new diagnostic modalities not yet published in literature. We report a case of metastatic choriocarcinoma with left ovary involvement in a 48-year-old woman with history of molar pregnancy and irregular follow-up of this disease. We emphasize the main findings by 2DUS with color Doppler, 3D power Doppler and dynamic contrast-enhanced MRI. 3D power Doppler is able to improve the assessment of anatomical relationships of vessels with the ovarian mass, while the resonance angiography allows us to evaluate the anatomic relations of the mass and adjacent structures, as well as the iliac vessels. The 3D power Doppler and dynamic contrast-enhanced MRI are promising methods in the evaluation of metastasis arising from gestational trophoblastic tumors.http://www.karger.com/Article/FullText/341256OvarianMetastasisGestational trophoblastic neoplasiaThree-dimensional ultrasoundMagnetic resonance imaging |
| spellingShingle | E. Araujo Júnior S.Y. Sun F.F. Campanharo D.C. Nacaratto L.M.M. Nardozza R. Mattar V.V. Habib A.F. Moron Diagnosis of Ovarian Metastasis from Gestational Trophoblastic Neoplasia by 3D Power Doppler Ultrasound and Dynamic Contrast-Enhanced Magnetic Resonance Imaging: Case Report Case Reports in Oncology Ovarian Metastasis Gestational trophoblastic neoplasia Three-dimensional ultrasound Magnetic resonance imaging |
| title | Diagnosis of Ovarian Metastasis from Gestational Trophoblastic Neoplasia by 3D Power Doppler Ultrasound and Dynamic Contrast-Enhanced Magnetic Resonance Imaging: Case Report |
| title_full | Diagnosis of Ovarian Metastasis from Gestational Trophoblastic Neoplasia by 3D Power Doppler Ultrasound and Dynamic Contrast-Enhanced Magnetic Resonance Imaging: Case Report |
| title_fullStr | Diagnosis of Ovarian Metastasis from Gestational Trophoblastic Neoplasia by 3D Power Doppler Ultrasound and Dynamic Contrast-Enhanced Magnetic Resonance Imaging: Case Report |
| title_full_unstemmed | Diagnosis of Ovarian Metastasis from Gestational Trophoblastic Neoplasia by 3D Power Doppler Ultrasound and Dynamic Contrast-Enhanced Magnetic Resonance Imaging: Case Report |
| title_short | Diagnosis of Ovarian Metastasis from Gestational Trophoblastic Neoplasia by 3D Power Doppler Ultrasound and Dynamic Contrast-Enhanced Magnetic Resonance Imaging: Case Report |
| title_sort | diagnosis of ovarian metastasis from gestational trophoblastic neoplasia by 3d power doppler ultrasound and dynamic contrast enhanced magnetic resonance imaging case report |
| topic | Ovarian Metastasis Gestational trophoblastic neoplasia Three-dimensional ultrasound Magnetic resonance imaging |
| url | http://www.karger.com/Article/FullText/341256 |
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