Radiology Case Reports (Sep 2024)
Contrast-enhanced ultrasonography combined with superb microvascular imaging for preoperative diagnosis of sporadic intra-abdominal desmoid-type fibromatosis: A case report
- Kazuhiro Komi, MD,
- Minoru Fujita, MD, PhD,
- Noriaki Manabe, MD, PhD,
- Munenori Takaoka, MD, PhD,
- Katsuya Kato, MD, PhD,
- Hideyo Fujiwara, MD, PhD,
- Takako Konishi, MD,
- Emiko Bukeo, MD,
- Hiraku Misawa, MD,
- Jun Nakamura, MD, PhD,
- Maki Ayaki, MD, PhD,
- Takahisa Murao, MD, PhD,
- Mitsuhiko Suehiro, MD, PhD,
- Takashi Akiyama, MD, PhD,
- Hirofumi Kawamoto, MD, PhD,
- Tomoari Kamada, MD, PhD,
- Atsushi Urakami, MD, PhD,
- Yoshio Naomoto, MD, PhD,
- Tomoki Yamatsuji, MD, PhD,
- Takuya Moriya, MD, PhD,
- Ken Haruma, MD, PhD,
- Jiro Hata, MD, PhD
Affiliations
- Kazuhiro Komi, MD
- Center for Doctors’ Career Development, Kawasaki Medical School Hospital, Kurashiki, Japan; Department of Pathology, Kawasaki Medical School Hospital, Kurashiki, Japan
- Minoru Fujita, MD, PhD
- Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan; Corresponding author.
- Noriaki Manabe, MD, PhD
- Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan
- Munenori Takaoka, MD, PhD
- Department of General Surgery, Kawasaki Medical School General Medical Center, Okayama, Japan
- Katsuya Kato, MD, PhD
- Department of Diagnostic and Therapeutic Radiology, Kawasaki Medical School General Medical Center, Okayama, Japan
- Hideyo Fujiwara, MD, PhD
- Department of Pathology, Kawasaki Medical School General Medical Center, Okayama, Japan
- Takako Konishi, MD
- Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan; Department of General Surgery, Kawasaki Medical School General Medical Center, Okayama, Japan
- Emiko Bukeo, MD
- Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan
- Hiraku Misawa, MD
- Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan
- Jun Nakamura, MD, PhD
- Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan
- Maki Ayaki, MD, PhD
- Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan; Department of Gastroenterology and Hepatology, HITO Medical Center, Shikokuchuou, Japan
- Takahisa Murao, MD, PhD
- Department of Health Care Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan
- Mitsuhiko Suehiro, MD, PhD
- Department of General Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan
- Takashi Akiyama, MD, PhD
- Department of Pathology, Kawasaki Medical School General Medical Center, Okayama, Japan
- Hirofumi Kawamoto, MD, PhD
- Department of General Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan
- Tomoari Kamada, MD, PhD
- Department of Health Care Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan
- Atsushi Urakami, MD, PhD
- Department of General Surgery, Kawasaki Medical School General Medical Center, Okayama, Japan
- Yoshio Naomoto, MD, PhD
- Department of General Surgery, Kawasaki Medical School General Medical Center, Okayama, Japan
- Tomoki Yamatsuji, MD, PhD
- Department of General Surgery, Kawasaki Medical School General Medical Center, Okayama, Japan
- Takuya Moriya, MD, PhD
- Department of Pathology, Kawasaki Medical School Hospital, Kurashiki, Japan
- Ken Haruma, MD, PhD
- Department of General Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan
- Jiro Hata, MD, PhD
- Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School Hospital, Kurashiki, Japan
- Journal volume & issue
-
Vol. 19,
no. 9
pp. 3988 – 3993
Abstract
We herein report a case of sporadic intra-abdominal desmoid-type fibromatosis in which contrast-enhanced ultrasonography (US) combined with superb microvascular imaging (SMI) was useful for preoperative diagnosis. 18-Fluorodeoxyglucose positron emission tomography performed for systematic screening for lung cancer revealed an abnormal accumulation in the abdominal cavity. Transabdominal US showed a tumor with a mixture of hypoechoic and hyperechoic areas. Contrast-enhanced US combined with SMI revealed dendritic blood flow signals and no abnormal vascular network within the tumor. Macroscopic examination of the resected specimen revealed a white tumor with relatively clear boundaries. Microscopic examination revealed spindle cells with poor atypia proliferating in bundles with collagenous stromal cells. Immunohistochemistry showed nuclear localization of beta-catenin within the tumor cells. From these findings, we finally diagnosed intra-abdominal desmoid-type fibromatosis. Contrast-enhanced US combined with SMI is useful for diagnosing intra-abdominal desmoid-type fibromatosis.
