Top

Published in:

01-03-2013 | Head and Neck Radiology

Desmoid-type fibromatosis in the head and neck: CT and MR imaging characteristics

Authors: Jung hyo Rhim, Ji-hoon Kim, Kyung Chul Moon, Sun-Won Park, Chul-Ho Sohn, Seung Hong Choi, Tae Jin Yun, Kee-Hyun Chang

Published in: Neuroradiology | Issue 3/2013

Abstract

Introduction

In the head and neck region, desmoid-type fibromatosis is an uncommon tumor, and the imaging features have not been well described. The purpose of this study was to describe imaging features with their pathologic correlation of desmoid-type fibromatosis in this region.

Methods

Computed tomographic (CT) and magnetic resonance (MR) images of nine consecutive patients (five women and four men; age range, 2–72 years; mean age, 28 years) with desmoid-type fibromatosis in the head and neck were retrospectively evaluated, focusing on lesion location, size, shape, presence of a rim of surrounding fat, CT attenuation, signal intensity, and enhancement characteristics on MR with pathologic correlation.

Results

Desmoid-type fibromatosis involved perivertebral space (n = 5) and carotid space (n = 1) in six adult patients. In three pediatric patients, the fibromatosis primarily involved submandibular space (n = 2) and masticator space (n = 1) with frequent invasion to the adjacent spaces (3/3). A mean greatest dimension of 5.8 cm, elongated shape (7/9), and rim of surrounding fat (8/9) were the common features of the desmoid-type fibromatosis. Tumors often showed iso (3/7) or high attenuation (3/7) on postcontrast CT, high signal intensity (6/9) on T2-weighted image, iso signal intensity (8/9) on T1-weighted image, and strong MR enhancement (8/9). Characteristic nonenhancing low signal intensity bands (8/9) on all MR sequences were well correlated with dense collagenous stroma.

Conclusions

Desmoid-type fibromatosis in the head and neck of adults frequently involves perivertebral space. Along with various common imaging features, desmoid-type fibromatosis shows characteristic nonenhancing low signal intensity bands on MR images.

Fletcher CDM, Unni KK, Mertens F (eds) (2002) World Health Organization classification of tumours: pathology and genetics of tumours of soft tissue and bone. IARC Press International Agency for Research on Cancer (IARC), 69008 Lyon, France

Shinagare AB, Ramaiya NH, Jagannathan JP, Krajewski KM, Giardino AA, Butrynski JE, Raut CP (2011) A to Z of desmoid tumors. AJR Am J Roentgenol 197(6):W1008–W1014. doi:10.2214/AJR.11.6657 PubMedCrossRef

Robbin MR, Murphey MD, Temple HT, Kransdorf MJ, Choi JJ (2001) Imaging of musculoskeletal fibromatosis. Radiographics 21(3):585–600PubMed

Murphey MD, Ruble CM, Tyszko SM, Zbojniewicz AM, Potter BK, Miettinen M (2009) From the archives of the AFIP: musculoskeletal fibromatoses: radiologic-pathologic correlation. Radiographics 29(7):2143–2173PubMedCrossRef

Siegel NS, Bradford CR (2000) Fibromatosis of the head and neck: a challenging lesion. Otolaryngol Head Neck Surg 123(3):269–275PubMedCrossRef

Enzinger FM, Weiss S (1995) Soft tissue tumors, 3rd edn. Mosby, St. Louis

Reitamo JJ, Hayry P, Nykyri E, Saxen E (1982) The desmoid tumor. I. Incidence, sex-, age- and anatomical distribution in the Finnish population. Am J Clin Pathol 77(6):665–673PubMed

Masson JK, Soule EH (1966) Desmoid tumors of the head and neck. Am J Surg 112(4):615–622PubMedCrossRef

Fasching MC, Saleh J, Woods JE (1988) Desmoid tumors of the head and neck. Am J Surg 156(4):327–331PubMedCrossRef

10.

Lewin JS, Lavertu P (1995) Aggressive fibromatosis of the prevertebral and retropharyngeal spaces: MR and CT characteristics. AJNR Am J Neuroradiol 16(4 Suppl):897–900PubMed

11.

Garant M, Remy H, Just N (1997) Aggressive fibromatosis of the neck: MR findings. AJNR Am J Neuroradiol 18(8):1429–1431PubMed

12.

Flacke S, Pauleit D, Keller E, Knoepfle G, Textor J, Leutner C, Schild HH (1999) Infantile fibromatosis of the neck with intracranial involvement: MR and CT findings. AJNR Am J Neuroradiol 20(5):923–925PubMed

13.

Hoos A, Lewis JJ, Urist MJ, Shaha AR, Hawkins WG, Shah JP, Brennan MF (2000) Desmoid tumors of the head and neck–a clinical study of a rare entity. Head Neck 22(8):814–821. doi:10.1002/1097-0347(200012)22:8<814::AID-HED11>3.0.CO;2-# PubMedCrossRef

14.

Tostevin PM, Wyatt M, Hosni A (2000) Six cases of fibromatosis of the head and neck in children. Int J Pediatr Otorhinolaryngol 53(3):235–244PubMedCrossRef

15.

Collins BJ, Fischer AC, Tufaro AP (2005) Desmoid tumors of the head and neck: a review. Ann Plast Surg 54(1):103–108PubMedCrossRef

16.

Corsten M, Donald P, Boggan J, Gadre A, Gandour-Edwards R, Nemzek W (1998) Extra-abdominal fibromatosis (desmoid tumor) arising in the infratemporal fossa: a case report. Skull base surgery 8(4):237–241PubMedCrossRef

17.

Lee JC, Thomas JM, Phillips S, Fisher C, Moskovic E (2006) Aggressive fibromatosis: MRI features with pathologic correlation. AJR Am J Roentgenol 186(1):247–254PubMedCrossRef

18.

Kransdorf MJ, Jelinek JS, Moser RP Jr, Utz JA, Hudson TM, Neal J, Berrey BH (1990) Magnetic resonance appearance of fibromatosis. A report of 14 cases and review of the literature. Skeletal Radiol 19(7):495–499PubMedCrossRef

19.

Quinn SF, Erickson SJ, Dee PM, Walling A, Hackbarth DA, Knudson GJ, Moseley HS (1991) MR imaging in fibromatosis: results in 26 patients with pathologic correlation. AJR Am J Roentgenol 156(3):539–542PubMedCrossRef

20.

Harnsberger O, Macdonald R (2007) Diagnostic and surgical imaging anatomy. Amirsys, Salt Lake cyity, Utah

21.

Ogino-Nishimura E, Okamura HO, Kishimoto S (2003) Successful treatment of an extra-abdominal fibromatosis (desmoid tumor) arising from the prevertebral fascia of the neck. Eur Arch Otorhinolaryngol 260(8):446–449PubMedCrossRef

22.

Nicholas C, Gourtsoyiannis PRR (2005) Radiologic-pathologic correlations from head to toe: understanding the manifestations of disease. Springer, Berlin Heidelberg New York

23.

Murphey MD, Smith WS, Smith SE, Kransdorf MJ, Temple HT (1999) From the archives of the AFIP. Imaging of musculoskeletal neurogenic tumors: radiologic-pathologic correlation. Radiographics 19(5):1253–1280PubMed

24.

Ahn JM, Yoon HK, Suh YL, Kim EY, Han BK, Yoon JH, Kim SH, Cho JM, Kim SM, Kang HS (2000) Infantile fibromatosis in childhood: findings on MR imaging and pathologic correlation. Clin Radiol 55(1):19–24PubMedCrossRef

25.

Sharma A, Ngan BY, Sandor GK, Campisi P, Forte V (2008) Pediatric aggressive fibromatosis of the head and neck: a 20-year retrospective review. J Pediatr Surg 43(9):1596–1604. doi:10.1016/j.jpedsurg.2008.02.001 PubMedCrossRef

26.

Kingston CA, Owens CM, Jeanes A, Malone M (2002) Imaging of desmoid fibromatosis in pediatric patients. AJR Am J Roentgenol 178(1):191–199PubMedCrossRef

27.

Rai AT, Nguyen TP, Hogg JP, Gabriele FJ (2001) Aggressive fibromatosis of the neck in a patient with Gardner’s syndrome. Neuroradiology 43(8):650–652PubMedCrossRef

28.

Kim HJ, Lee HK, Seo JJ, Shin JH, Jeong AK, Lee JH, Cho KJ (2005) MR imaging of solitary fibrous tumors in the head and neck. Korean J Radiol 6(3):136–142PubMedCrossRef

29.

Oka K, Yakushiji T, Sato H, Fujimoto T, Hirai T, Yamashita Y, Mizuta H Usefulness of diffusion-weighted imaging for differentiating between desmoid tumors and malignant soft tissue tumors. J Magn Reson Imaging 33(1):189–193. doi:10.1002/jmri.22406

Title: Desmoid-type fibromatosis in the head and neck: CT and MR imaging characteristics
Authors: Jung hyo Rhim
Ji-hoon Kim
Kyung Chul Moon
Sun-Won Park
Chul-Ho Sohn
Seung Hong Choi
Tae Jin Yun
Kee-Hyun Chang
Publication date: 01-03-2013
Publisher: Springer-Verlag
Published in: Neuroradiology / Issue 3/2013
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-012-1037-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Desmoid-type fibromatosis in the head and neck: CT and MR imaging characteristics

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 3/2013

European Society of Neuroradiology (ESNR)

Endovascular management of spinal dural arteriovenous fistulas in 78 patients

Primary cough headache, primary exertional headache, and primary headache associated with sexual activity: a clinical and radiological study

Spinal ventral epidural arteriovenous fistulas of the lumbar spine: angioarchitecture and endovascular treatment

Quantitative comparison of the dynamic flow waveform changes in 12 ruptured and 29 unruptured ICA–ophthalmic artery aneurysms

Detection of early neuronal damage in CADASIL patients by q-space MR imaging