Uncommon primary pelvic retroperitoneal masses in adults

A pattern-based imaging approach

Alampady K. Shanbhogue, Najla Fasih, David B. Macdonald, Adnan M. Sheikh, Christine O. Menias, Srinivasa R. Prasad

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

There is a broad spectrum of primary pelvic retroperitoneal masses in adults that demonstrate characteristic epidemiologic and histopathologic features and natural histories. These masses may be classified into five distinct subgroups using a pattern-based approach that takes anatomic distribution and certain imaging characteristics into account, allowing greater accuracy in their detection and characterization and helping to optimize patient management. The five groups are cystic (serous and mucinous epithelial neoplasms, pelvic lymphangioma, tailgut cyst, ancient schwannoma), vascular or hypervascular (solitary fibrous tumor, paraganglioma, pelvic arteriovenous malformation, Klippel-Trénaunay-Weber syndrome, extraintestinal GIST [gastrointestinal stromal tumor]), fat-containing (lipoma, liposarcoma, myelolipoma, presacral teratoma), calcified (calcified lymphocele, calcified rejected transplant kidney, rare sarcomas), and myxoid (schwannoma, plexiform neurofibroma, myxoma).Cross-sectional imaging modalities help differentiate the more common gynecologic neoplasms from more unusual masses. In particular, the tissue-specific multiplanar capability of high-resolution magnetic resonance imaging permits better tumor localization and internal characterization, thereby serving as a road map for surgery.

Original languageEnglish (US)
Pages (from-to)795-817
Number of pages23
JournalRadiographics
Volume32
Issue number3
DOIs
StatePublished - May 2012

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Neurilemmoma
Female Genital Neoplasms
Plexiform Neurofibroma
Myelolipoma
Brain Stem Infarctions
Lymphocele
Solitary Fibrous Tumors
Lymphangioma
Paraganglioma
Liposarcoma
Myxoma
Gastrointestinal Stromal Tumors
Glandular and Epithelial Neoplasms
Lipoma
Arteriovenous Malformations
Teratoma
Natural History
Sarcoma
Blood Vessels
Cysts

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Shanbhogue, A. K., Fasih, N., Macdonald, D. B., Sheikh, A. M., Menias, C. O., & Prasad, S. R. (2012). Uncommon primary pelvic retroperitoneal masses in adults: A pattern-based imaging approach. Radiographics, 32(3), 795-817. https://doi.org/10.1148/rg.323115020

Uncommon primary pelvic retroperitoneal masses in adults : A pattern-based imaging approach. / Shanbhogue, Alampady K.; Fasih, Najla; Macdonald, David B.; Sheikh, Adnan M.; Menias, Christine O.; Prasad, Srinivasa R.

In: Radiographics, Vol. 32, No. 3, 05.2012, p. 795-817.

Research output: Contribution to journalArticle

Shanbhogue, AK, Fasih, N, Macdonald, DB, Sheikh, AM, Menias, CO & Prasad, SR 2012, 'Uncommon primary pelvic retroperitoneal masses in adults: A pattern-based imaging approach', Radiographics, vol. 32, no. 3, pp. 795-817. https://doi.org/10.1148/rg.323115020
Shanbhogue AK, Fasih N, Macdonald DB, Sheikh AM, Menias CO, Prasad SR. Uncommon primary pelvic retroperitoneal masses in adults: A pattern-based imaging approach. Radiographics. 2012 May;32(3):795-817. https://doi.org/10.1148/rg.323115020
Shanbhogue, Alampady K. ; Fasih, Najla ; Macdonald, David B. ; Sheikh, Adnan M. ; Menias, Christine O. ; Prasad, Srinivasa R. / Uncommon primary pelvic retroperitoneal masses in adults : A pattern-based imaging approach. In: Radiographics. 2012 ; Vol. 32, No. 3. pp. 795-817.
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