Imaging Features of Superficial and Deep Fibromatoses in the Adult Population
Figure 12
Imaging of gardner syndrome: a teenage female with Gardner syndrome. Images were obtained from age 13 to 16 years-of-age. (a) Lateral radiograph of the forearm demonstrates an osteoma (arrowhead) of the distal radial diaphysis. Also note the soft tissue mass (arrow) corresponding to extraabdominal desmoid imaged with MR in 11c. (b) Axial T2 (TR544.326/TE100) sequence through the upper abdomen demonstrates fibromatosis (arrow) involving the left intercostal muscles. (c) Axial T1 (TR539.09/TE15) fat saturation postcontrast of the upper forearm reveals a mature (collagenized) extraabdominal fibromatosis (arrow) along the dorsal superficial fascia with no significant enhancement. Note the fascial tail sign (arrowheads). (d) Axial T1 (TR491/TE11) postcontrast of the scalp and (e) axial T1 (TR667/TE10) fat suppression postcontrast of the calf reveal multiple epidermal inclusion cysts (arrows) of the subcutaneous tissues with mild peripheral enhancement. Follow-up endoscopy (f) of the patient status post colectomy for multiple tubular adenomas demonstrates development of an adenomatous polyp within the distal rectum.
