Bookmark and Share
Click 81-year-old male with an aggressive angiomyxoma. Coronal fast spin-echo T2-weighted fat-saturated MR images (TR 4472, TE 60, 5 mm slice thickness, FoV 382x382) reveal a heterogeneous, hyperintense pelvic mass with a cystic components in the periphery. The mass extends both superiorly and inferiorly relative to the levator ani muscle. The internal architecture is composed of hypointense layered strands.

Click 81-year-old male with an aggressive angiomyxoma. Axial T1-weighted spin-echo (TR 713, TE, 5 mm slice thickness, FoV 354 x 198) shows an isointense (in relation to muscles) pelvic mass with some extrapelvic components perineal and peripheric cysts.

Click 81-year-old male with an aggressive angiomyxoma. Axial fat-supressed T1-weighted spin-echo (TR 666/ TE 9, 5 mm slice thickness, FoV 354 x 198) post-contrast images reveal a heterogeneously enhancing mass, with central swirled strands of tissue and peripheric cystic components, that extends caudally into the perineal region.

Click 81-year-old male with an aggressive angiomyxoma. Sagittal fast spin-echo T2-weighted MR images (TR 4471, TE 90, 5 mm slice thickness, FoV 230x382) Multidirectional extension of the mass relative to the pelvic diaphragm. The mass lies anteriorly to the rectum and involves the perineum dorsally and anteriorly. Cystic changes can be seen in the upper part of the mass.

Click 81-year-old male with an aggressive angiomyxoma. Coronal fast spin-echo T2-weighted fat-saturated MR images (TR 1600, TE 109, 1,3 mm slice thickness, FoV 480x480). A follow-up examination 2 years after 2 years an R2 resection shows a significant reduction reduction of the main tumor mass (stable since resection) with some residual cystic components.