Ultra-high b-value diffusion-weighted imaging features of the prostatic leiomyoma-case report

Background: Leiomyoma of the prostate is a rare benign tumor arising from smooth muscle fibers. Most cases are incidental findings observed during pathological examinations after resection of the prostate. To the best of our knowledge, only few studies have reported the conventional magnetic resonan...

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Main Authors: Shen, Y., Zhong, Y., Wang, H., Ma, L., Wang, Y., Pan, J., Sun, Zhonghua, Ye, H.
Format: Journal Article
Published: 2017
Online Access:http://hdl.handle.net/20.500.11937/60688
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author Shen, Y.
Zhong, Y.
Wang, H.
Ma, L.
Wang, Y.
Pan, J.
Sun, Zhonghua
Ye, H.
author_facet Shen, Y.
Zhong, Y.
Wang, H.
Ma, L.
Wang, Y.
Pan, J.
Sun, Zhonghua
Ye, H.
author_sort Shen, Y.
building Curtin Institutional Repository
collection Online Access
description Background: Leiomyoma of the prostate is a rare benign tumor arising from smooth muscle fibers. Most cases are incidental findings observed during pathological examinations after resection of the prostate. To the best of our knowledge, only few studies have reported the conventional magnetic resonance imaging (MRI) findings of such tumors; however, no reports have described the ultra-high b-value diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC) findings of prostatic leiomyomas. Case presentation: We report MR imaging characteristics and surgical pathologic findings of a case of prostatic leiomyoma treated by robot-assisted transperitoneal laparoscopic approach. Typical MR features showed a homogeneous lesion with slightly hypointense signal compared to the skeletal muscle on T2-weighted images, and isointense signal relative to the muscle on T1-weighted images with fat suppression, which collectively demonstrate apparent homogeneous enhancement with a non-enhanced envelope. A slightly hyperintense signal compared to the skeletal muscle was observed on ultra-high b-value DWI, and higher ADC values were observed as compared to the prostate cancer. Conclusions: Prostatic leiomyoma is a benign tumor. This case indicates that MRI features of prostatic leiomyoma are helpful for the differential diagnosis of prostate cancer.
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spelling curtin-20.500.11937-606882018-05-10T04:55:36Z Ultra-high b-value diffusion-weighted imaging features of the prostatic leiomyoma-case report Shen, Y. Zhong, Y. Wang, H. Ma, L. Wang, Y. Pan, J. Sun, Zhonghua Ye, H. Background: Leiomyoma of the prostate is a rare benign tumor arising from smooth muscle fibers. Most cases are incidental findings observed during pathological examinations after resection of the prostate. To the best of our knowledge, only few studies have reported the conventional magnetic resonance imaging (MRI) findings of such tumors; however, no reports have described the ultra-high b-value diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC) findings of prostatic leiomyomas. Case presentation: We report MR imaging characteristics and surgical pathologic findings of a case of prostatic leiomyoma treated by robot-assisted transperitoneal laparoscopic approach. Typical MR features showed a homogeneous lesion with slightly hypointense signal compared to the skeletal muscle on T2-weighted images, and isointense signal relative to the muscle on T1-weighted images with fat suppression, which collectively demonstrate apparent homogeneous enhancement with a non-enhanced envelope. A slightly hyperintense signal compared to the skeletal muscle was observed on ultra-high b-value DWI, and higher ADC values were observed as compared to the prostate cancer. Conclusions: Prostatic leiomyoma is a benign tumor. This case indicates that MRI features of prostatic leiomyoma are helpful for the differential diagnosis of prostate cancer. 2017 Journal Article http://hdl.handle.net/20.500.11937/60688 10.1186/s12880-017-0234-4 http://creativecommons.org/licenses/by/4.0/ fulltext
spellingShingle Shen, Y.
Zhong, Y.
Wang, H.
Ma, L.
Wang, Y.
Pan, J.
Sun, Zhonghua
Ye, H.
Ultra-high b-value diffusion-weighted imaging features of the prostatic leiomyoma-case report
title Ultra-high b-value diffusion-weighted imaging features of the prostatic leiomyoma-case report
title_full Ultra-high b-value diffusion-weighted imaging features of the prostatic leiomyoma-case report
title_fullStr Ultra-high b-value diffusion-weighted imaging features of the prostatic leiomyoma-case report
title_full_unstemmed Ultra-high b-value diffusion-weighted imaging features of the prostatic leiomyoma-case report
title_short Ultra-high b-value diffusion-weighted imaging features of the prostatic leiomyoma-case report
title_sort ultra-high b-value diffusion-weighted imaging features of the prostatic leiomyoma-case report
url http://hdl.handle.net/20.500.11937/60688