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Lee, Chung, Lee, Park, Lim, Choi, Kim, Kim, and Kim: Malignant Mixed Müllerian Tumor with Small Bowel Metastasis: A Case Report
Case Report
Journal of the Korean Society of Magnetic Resonance in Medicine

Journal of the Korean Society of Magnetic Resonance in Medicine 2012; 16(3): 257-261.

Published online: 31 December 2012

DOI: https://doi.org/10.0000/jksmrm.2012.16.3.257

Malignant Mixed Müllerian Tumor with Small Bowel Metastasis: A Case Report

Yeo Jin Lee1, Yong Eun Chung1, Kwang-Hun Lee2, Mi-Suk Park1, Joon Seok Lim1, Jin-Young Choi1, Kyung Ah Kim1, Myeong-Jin Kim1, Ki Whang Kim1

1Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

2Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Corresponding author: Yong Eun Chung, M.D. Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 250 Seongsanno, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea. Tel. 82-2-2228-7400, Fax. 82-2-393-3035, yelv@yuhs.ac

Received 26 July 2012       Revised 27 September 2012       Accepted 27 September 2012

Copyright © 2012 Korean Society of Magnetic Resonance in Medicine

Abstract

Malignant mixed Müllerian tumors (MMMT) are rare aggressive tumors that typically arise fromthe female genital tract. This malignancy has an extremely poor prognosis due to its rapid growthand the high associated incidence of both local recurrence and distant metastases. Althoughintraperitoneal metastasis from MMMT is relatively common, no reports exist regarding theradiologic findings of intestinal metastasis from MMMT. Here, we report a case of MMMT withsecondary small bowel metastasis and the associated radiologic findings.

Keywords: Malignant mixed Müllerian tumor, Small bowel metastasis, Magnetic resonance imaging (MRI), Computed tomography (CT)

Figures and Tables

Fig. 1
a. Contrast-enhanced axial CT image shows irregular wall thickening of the small bowel (arrow) with enlarged mesenteric and retroperitoneal lymph nodes (arrowhead).
b. Contrast-enhanced axial CT scan at the pelvic level shows a poorly enhancing mass in the uterus. The mass extends into the endometrial cavity.
jksmrm-16-257-g001
Fig. 2
(a) Sagittal T2-weighted MR image shows a large mass with slightly high signal intensity (arrows) in the uterus that extends to the uterine cervix. Pre-contrast (b) and gadolinium enhanced (c) axial fat-suppressed T1-weighted MR image shows less heterogeneous enhancement of the tumor relative to the adjacent myometrium.
jksmrm-16-257-g002
Fig. 3
a. A photograph of the gross uterine specimen shows a poorly circumscribed infiltrative yellow, solid mass in the endomyometrium with invasion of more than one half of the myometrium.
b. The gross small bowel specimen shows an irregular mass (arrows) that is adherent to the serosal surface of the ileum.
jksmrm-16-257-g003

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