Retroperitoneal Fibrosis Confined to the Pelvic Cavity

フォーマット:

論文

責任表示:

Tsushima, Yoshito ; Endo, Keigo

言語:

英語

出版情報:

北関東医学会, 2005-05-01

著者名:

• Tsushima, Yoshito
• Endo, Keigo

掲載情報:

The Kitakanto medical journal = 北関東医学

ISSN:

1343-2826    

巻:

55

通号:

2

開始ページ:

87

終了ページ:

90

バージョン:

VoR

概要:

application/pdf<br />Journal Article<br />Aim: To find whether there were characteristic clinical or imaging findings in retroperitoneal fibrosis (RPF) confined in the pelvic cavity.\nMethods: Literature review was performed using MEDLINE with key words of [retroperitoneal fibrosis and pelvis] and [pelvic fibrosis].\nResults: In addition to our 68-year-old Japanese woman, 13 cases were found, in which computed tomography (CT) or magnetic resonance … imaging (MRI) confirmed that the mass lesions were confined in the pelvic cavity. The pelvic RPF (age range, 29-69 y.o. ; seven male) showed variable symptoms and clinical presentation suggestive of gynecological, urological or colonic diseases. CT usually revealed an ill-defined well-enhanced mass lesion, which may be associated with fascial thickening. On MRI the pelvic masses showed low signal intensity on T1-weighted images and high or mixed signal on T2-weighted images. In nine of 14 patients the presacral or retrorectal spaces were involved, and the remaining patients had RPF around the bladder. In seven patients, imaging-guided needle biopsies were employed. Good prognoses were reported in all 11 patients, in which corticosteroid therapy were given.\nConclusion: Pelvic RPF may show different symptoms and clinical features from typical paraaortic RPF, but shows similar imaging findings. The imaging-guided biopsy is the choice for histopathological diagnosis. 続きを見る