Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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MRI Findings of Rectal Submucosal Tumors

  • Kim, Hon-Soul (Department of Radiology, Research Institute of Radiological Science, Yonsei University Health System) ;
  • Kim, Joo-Hee (Department of Radiology, Research Institute of Radiological Science, Yonsei University Health System) ;
  • Lim, Joon-Seok (Department of Radiology, Research Institute of Radiological Science, Yonsei University Health System) ;
  • Choi, Jin-Young (Department of Radiology, Research Institute of Radiological Science, Yonsei University Health System) ;
  • Chung, Yong-Eun (Department of Radiology, Research Institute of Radiological Science, Yonsei University Health System) ;
  • Park, Mi-Suk (Department of Radiology, Research Institute of Radiological Science, Yonsei University Health System) ;
  • Kim, Myeong-Jin (Department of Radiology, Research Institute of Radiological Science, Yonsei University Health System) ;
  • Kim, Ki-Whang (Department of Radiology, Research Institute of Radiological Science, Yonsei University Health System) ;
  • Kim, Sang-Kyum (Department of Pathology, Yonsei University Health System)
  • Published : 2011.08.01
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Abstract

Rectal submucosal lesions encompass a wide variety of benign and malignant tumors involving the rectum. With optical colonoscopy, any mass-like protrusion covered by normal mucosa, whether the underlying process is intramural or extramural in origin, may be reported as a submucosal lesion. Whereas the assessment of submucosal lesions may be limited with performing optical colonoscopy, cross-sectional imaging such as CT, transrectal ultrasonography and MRI allows the evaluation of perirectal tissues and pelvic organs in addition to the entire thickness of the rectum, and so this is advantageous for the assessment of rectal submucosal tumors. Among these, MRI is the best investigative modality for soft tissue characterization. Therefore, knowledge of the MRI features of rectal submucosal tumors can help achieve accurate preoperative diagnoses and facilitate the appropriate management.

Keywords

References

  1. Pickhardt PJ, Kim DH, Menias CO, Gopal DV, Arluk GM, Heise CP. Evaluation of submucosal lesions of the large intestine: part 1. Neoplasms. Radiographics 2007;27:1681-1692 https://doi.org/10.1148/rg.276075027
  2. Pickhardt PJ, Kim DH, Menias CO, Gopal DV, Arluk GM, Heise CP. Evaluation of submucosal lesions of the large intestine: part 2. Nonneoplastic causes. Radiographics 2007;27:1693-1703 https://doi.org/10.1148/rg.276075028
  3. Rouse HC, Godoy MC, Lee WK, Phang PT, Brown CJ, Brown JA. Imaging findings of unusual anorectal and perirectal pathology: a multi-modality approach. Clin Radiol 2008;63:1350-1360 https://doi.org/10.1016/j.crad.2008.06.008
  4. Kloppel G, Perren A, Heitz PU. The gastroenteropancreatic neuroendocrine cell system and its tumors: the WHO classification. Ann N Y Acad Sci 2004;1014:13-27 https://doi.org/10.1196/annals.1294.002
  5. Okamoto Y, Fujii M, Tateiwa S, Sakai T, Ochi F, Sugano M, et al. Treatment of multiple rectal carcinoids by endoscopic mucosal resection using a device for esophageal variceal ligation. Endoscopy 2004;36:469-470 https://doi.org/10.1055/s-2004-814386
  6. Wiech T, Walch A, Werner M. Histopathological classification of nonneoplastic and neoplastic gastrointestinal submucosal lesions. Endoscopy 2005;37:630-634 https://doi.org/10.1055/s-2005-870127
  7. Grabowski P, Schonfelder J, Ahnert-Hilger G, Foss HD, Heine B, Schindler I, et al. Expression of neuroendocrine markers: a signature of human undifferentiated carcinoma of the colon and rectum. Virchows Arch 2002;441:256-263 https://doi.org/10.1007/s00428-002-0650-9
  8. Chang S, Choi D, Lee SJ, Lee WJ, Park MH, Kim SW, et al. Neuroendocrine neoplasms of the gastrointestinal tract: classification, pathologic basis, and imaging features. Radiographics 2007;27:1667-1679 https://doi.org/10.1148/rg.276075001
  9. Heah SM, Eu KW, Ooi BS, Ho YH, Seow-Choen F. Tumor size is irrelevant in predicting malignant potential of carcinoid tumors of the rectum. Tech Coloproctol 2001;5:73-77 https://doi.org/10.1007/s101510170002
  10. Fletcher CD, Berman JJ, Corless C, Gorstein F, Lasota J, Longley BJ, et al. Diagnosis of gastrointestinal stromal tumors: A consensus approach. Hum Pathol 2002;33:459-465 https://doi.org/10.1053/hupa.2002.123545
  11. Grassi N, Cipolla C, Torcivia A, Mandala S, Graceffa G, Bottino A, et al. Gastrointestinal stromal tumour of the rectum: report of a case and review of literature. World J Gastroenterol 2008;14:1302-1304 https://doi.org/10.3748/wjg.14.1302
  12. Darnell A, Dalmau E, Pericay C, Musulen E, Martin J, Puig J, et al. Gastrointestinal stromal tumors. Abdom Imaging 2006;31:387-399 https://doi.org/10.1007/s00261-004-0092-8
  13. Maciejewski A, Lange D, Wloch J. Case report of schwannoma of the rectum--clinical and pathological contribution. Med Sci Monit 2000;6:779-782
  14. Lee SH, Kim TO, Hwang SY, Ryu DY, Lee DH, Park WI, et al. [A case of rectal schwannoma presenting with hematochezia]. Korean J Gastroenterol 2006;48:195-199
  15. Dawson IM, Cornes JS, Morson BC. Primary malignant lymphoid tumours of the intestinal tract. Report of 37 cases with a study of factors influencing prognosis. Br J Surg 1961;49:80-89 https://doi.org/10.1002/bjs.18004921319
  16. Ghai S, Pattison J, O'Malley ME, Khalili K, Stephens M. Primary gastrointestinal lymphoma: spectrum of imaging findings with pathologic correlation. Radiographics 2007;27:1371-1388 https://doi.org/10.1148/rg.275065151
  17. Dionigi G, Annoni M, Rovera F, Boni L, Villa F, Castano P, et al. Primary colorectal lymphomas: review of the literature. Surg Oncol 2007;16 Suppl 1:S169-171 https://doi.org/10.1016/j.suronc.2007.10.021
  18. Sashiyama H, Takayama W, Miyazaki S, Makino H, Matsushita K, Shimada H, et al. The diagnostic value of endoscopic ultrasonography and magnetic resonance imaging for anorectal malignant melanoma: report of a case. Surg Today 2003;33:209-213 https://doi.org/10.1007/s005950300047
  19. Kim KW, Ha HK, Kim AY, Kim TK, Kim JS, Yu CS, et al. Primary malignant melanoma of the rectum: CT findings in eight patients. Radiology 2004;232:181-186 https://doi.org/10.1148/radiol.2321030909
  20. Matsuoka H, Nakamura A, Iwamoto K, Sugiyama M, Hachiya J, Atomi Y, et al. Anorectal malignant melanoma: preoperative usefulness of magnetic resonance imaging. J Gastroenterol 2005;40:836-842 https://doi.org/10.1007/s00535-005-1638-4
  21. Caramella T, Novellas S, Fournol M, Bafghi A, Mondot L, Chassang M, et al. [Deep pelvic endometriosis: MRI features]. J Radiol 2008;89:473-479 https://doi.org/10.1016/S0221-0363(08)71450-1
  22. Aflalo-Hazan V, Rousset P, Mourra N, Lewin M, Azizi L, Hoeffel C. Tailgut cysts: MRI findings. Eur Radiol 2008;18:2586-2593 https://doi.org/10.1007/s00330-008-1028-4
  23. Yang DM, Yoon MH, Kim HS, Oh YH, Ha SY, Oh JH, et al. Presacral epidermoid cyst: imaging findings with histopathologic correlation. Abdom Imaging 2001;26:79-82 https://doi.org/10.1007/s002610000118

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