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Locally metastatic mucinous rectal adenocarcinoma: Imaging diagnosis with DW-MRI in comparison with PET-CT. | LitMetric

AI Article Synopsis

  • * However, diffusion-weighted MRI (DW-MRI) identified new sacral bone metastasis, which was later confirmed by histopathology.
  • * After surgical removal of the metastasis and the local tumor, tumor recurrence was detected in the same area eight months later, highlighting DW-MRI's superior diagnostic capability for mucinous tumors compared to PET-CT.

Article Abstract

A 56-year-old male patient with locally advanced mucinous rectal cancer underwent neoadjuvant chemoradiotherapy. Follow-up imaging with positron emission tomography-computed tomography (PET-CT) revealed a local response to chemoradiotherapy, whereas diffusion-weighted magnetic resonance imaging (DW-MRI) showed newly presented sacral bone metastasis. Histopathologically confirmed bone metastasis and the local tumor were surgically removed. Repeat DW-MRI revealed tumor recurrence in the sacral excision zone eight months after surgery, which was reconfirmed by histopathology. This case shows the superior imaging ability of DW-MRI in the diagnosis of mucinous tumors in comparison to PET-CT.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3392593PMC
http://dx.doi.org/10.3892/ol.2012.663DOI Listing

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