Pathology Pelvis Male and Female Flashcards
Normal Prostate appereance MRI
T1- inhomogeneous sig without zone differentiation
T2-Peripheral zone, largest portion shows homogenous
Central Zone- homogenous
Slow growing, Older men >50, (PSA) blood test and digital rectal exam, Genetics and Diet, Frequency to urinate “at night”, Surgery and radiation, T2 low sig with high sig in peripheral zone
Prostatic Carcinoma
Rare, Malignant, heaviness in scrotum, painless lump or enlargement, If lump is cancerous the entire testicle is removed
Testicular Cancer
Testicular Cancer MRI appearance
T2- high/mixed signal
T1 GAD- Enhancement
3 classifications of Testicular Cancer
- Confined to the testicle
- Spread to the lymph nodes in the abdomen
- Spread beyond the lymph nodes to other regions of the body such as lungs and liver
Associated with Inflammatory bowel disease, more common in males, pain and defecation, Fistulotomy
Fistula
Fistula MRI appearance
T1- ISO
T2- Hyper
GAD- Enhancing
Seminoma
30-50’s, treated early means recovery
Nonseminoma
Develop earlier in life than seminomas, late teens and early 40’s, Teratoma and yolk sac,
Only develops fully in females, Present in the human embryo, If this structure does not fuse bicornate uterus is formed
Mullerian Duct
Most common congenital uterine anomaly
Bicornuate Uterus
2 horns, Incidental, Infertility not a problem, loss of pregnancy and cervicle incompetence, Higher percentage of miscarriages, placenta may develop on the inner wall (inadequate blood supply), Heart shape
Bicornuate Uterus
Each endometrial cavity appears smaller than normal cavity, 90% miscarriage rate, premature birth, Shaved off during hysteroscopy,
Septate Uterus
Fundus appears normal
Septate Uterus
20-30% premenopausal women, Ultrasound is the modality of choice, Asymptomatic, abnormal menstruation
Fibroids