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Magnetic resonance imaging findings of a case with Wolffian tumor and related literature review. | LitMetric

Magnetic resonance imaging findings of a case with Wolffian tumor and related literature review.

Asian Biomed (Res Rev News)

Department of Obstetrics and Gynecology, Jinhua Municipal Central Hospital (Affiliated Jinhua Hospital, Zhejiang University School of Medicine), Jinhua Maternal and Child Health Care Hospital, Zhejiang 321000, China.

Published: April 2024

Background: Wolffian tumors in females are rare gynecological neoplasms, with fewer than 100 cases reported. Existing literature primarily focuses on the pathology, and reports involving imaging are limited.

Objective: This study presents a case of Wolffian tumor, emphasizing its magnetic resonance imaging (MRI) characteristics to enhance preoperative diagnostic accuracy.

Case Report: A 56-year-old woman presented with a year-long history of irregular vaginal bleeding. MRI revealed a solid mass in the right adnexal region. On T2-weighted images, the mass exhibited slightly elevated signal intensity with a distinctive low-signal intensity rim. Diffusion-weighted imaging displayed markedly increased signal intensity, and the contrast enhancement was moderate. The patient underwent laparoscopic right adnexectomy and received a Wolffian tumor diagnosis. No recurrence was observed during a 6-month follow-up.

Conclusions: Wolffian tumors exhibit distinctive MRI presentations. Notably, the prominent low-signal intensity rim on MRI may aid in accurate preoperative tumor diagnosis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11063081PMC
http://dx.doi.org/10.2478/abm-2024-0012DOI Listing

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