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Radiologic Findings of Mesonephric-Like Adenocarcinoma of the Uterine Corpus: A Case Report

자궁 체부에 발생한 중신 유사 선종의 영상 소견: 증례 보고

  • Ha Jung Kim (Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Kyeong Ah Kim (Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Yikyeong Chun (Department of Pathology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Jeong Woo Kim (Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Jongmee Lee (Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Chang Hee Lee (Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine)
  • 김하정 (고려대학교 의과대학 고려대학교 구로병원 영상의학과) ;
  • 김경아 (고려대학교 의과대학 고려대학교 구로병원 영상의학과) ;
  • 전이경 (고려대학교 의과대학 고려대학교 구로병원 병리과) ;
  • 김정우 (고려대학교 의과대학 고려대학교 구로병원 영상의학과) ;
  • 이종미 (고려대학교 의과대학 고려대학교 구로병원 영상의학과) ;
  • 이창희 (고려대학교 의과대학 고려대학교 구로병원 영상의학과)
  • Received : 2022.08.19
  • Accepted : 2022.10.02
  • Published : 2023.05.01

Abstract

According to the 2020 World Health Organization classification, mesonephric-like adenocarcinoma (MLA) is newly categorized as a subtype of endometrial carcinoma and remains a relatively unknown disease owing to its rarity. To the best of our knowledge, radiological findings of MLA have not been reported in the English literature. The uterine MLAs show a worse clinical prognosis and a more aggressive biological behavior than the usual endometrial carcinoma. Herein, we present the imaging findings of a 65-year-old female with a MLA in the uterine corpus. The tumor was a solid endometrial mass with deep myometrial invasion, poor contrast enhancement, and moderate diffusion restriction.

중신 유사 선종은 2020년 World Health Organization 분류체계에서 자궁내막암의 한 아형으로 새롭게 분류되었고, 드물기 때문에 잘 알려지지 않은 질환이다. 저자들이 아는 한, 영어 문헌에서 영상의학적 소견은 아직 보고된 바 없다. 자궁의 중신 유사 선종은 일반적인 자궁내막암에 비해 예후가 좋지 않고 더 공격적인 생물학적 양상을 보인다. 저자들은 65세 여성의 자궁 체부에 생긴 중신 유사 선종의 영상의학적 소견에 대하여 보고하고자 한다. 자궁내막 고형 종괴가 심부 자궁근 침범을 보였고, 조영 증강은 잘되지 않았고 중등도의 확산제한을 보였다.

Keywords

References

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