Purpose The aim of this study was to determine the valuable magnetic resonance imaging (MRI) features of sinonasal metastatic clear-cell renal cell carcinoma (cc-RCC), especially focusing on its dynamic-enhanced characteristics. Methods The conventional and dynamic-enhanced MRI findings of 8 patients with histopathologically confirmed sinonasal metastatic cc-RCC were reviewed by 2 radiologists. The control group of 8 patients with capillary hemangioma underwent the same MRI protocol. Results Metastatic cc-RCCs arose from the nasoethmoid region, maxillary sinus, posterior ethmoid and sphenoid sinus, and nasal cavity in 2 patients in each. These lesions were well circumscribed and the mean maximum dimension was 42 mm. The signal intensity of these lesions was isointense to brain stem on both MR T1- and T2-weighted images. All metastatic tumors showed vivid enhancement on enhanced T1-weighted image. Multiple flow voids within these metastatic lesions were identified in 6 patients. Peripheral cyst was detected around the metastatic tumor in 4 patients. Metastatic cc-RCCs exhibited a characteristic type 4 time intensity curve (TIC) similar to that of the internal carotid artery, whereas capillary hemangiomas showed a type 3 TIC on dynamic-enhanced MRI. Conclusions A hypervascular mass with the characteristic type 4 TIC in the sinonasal region is highly suggestive of a metastatic cc-RCC.
第一作者机构:[1]Capital Med Univ, Beijing Tongren Hosp, Dept Radiol, 1 Dongjiaominxiang, Beijing 100730, Peoples R China[*1]Department of Radiology, Beijing Tongren Hospital, Capital Medical University, No. 1, Dongjiaominxiang, Dongcheng District, Beijing 100730, China
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tongren Hosp, Dept Radiol, 1 Dongjiaominxiang, Beijing 100730, Peoples R China[*1]Department of Radiology, Beijing Tongren Hospital, Capital Medical University, No. 1, Dongjiaominxiang, Dongcheng District, Beijing 100730, China
推荐引用方式(GB/T 7714):
Yang Bentao,Wang Ziyi,Dong Jiyong.The Specific Magnetic Resonance Imaging Indicators in Predicting Clear-Cell Renal Cell Carcinoma Metastatic to the Sinonasal Region[J].JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY.2020,44(1):70-74.doi:10.1097/RCT.0000000000000948.
APA:
Yang, Bentao,Wang, Ziyi&Dong, Jiyong.(2020).The Specific Magnetic Resonance Imaging Indicators in Predicting Clear-Cell Renal Cell Carcinoma Metastatic to the Sinonasal Region.JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY,44,(1)
MLA:
Yang, Bentao,et al."The Specific Magnetic Resonance Imaging Indicators in Predicting Clear-Cell Renal Cell Carcinoma Metastatic to the Sinonasal Region".JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY 44..1(2020):70-74