CARCINOSARCOMA OF THE UTERUS - MAGNETIC-RESONANCE-IMAGING

We report the magnetic resonance imaging (MRI) findings with a paramag netic enhancement agent (gadopentetate dimeglumine (Gd-DTPA)) in a 70- year-old woman with carcinosarcoma of the uterus. In the present patie nt, the polypoid portion histologically most abundant in the sarcomato us component was strongly enhanced by Gd-DTPA and was clearly demonstr ated with high signal intensities on contrast-enhanced T-1-weighted im ages. We suggest that MRI with Gd-DTPA may be clinically useful for de tection of carcinosarcoma, and that any patient having endometrial car cinoma with the polypoid portion, which is more strongly enhanced by G d-DTPA within the tumor, may be suspected of carcinosarcoma.