Abstract
Primary AT/RT is a rare highly malignant tumor of the CNS, usually occurring in children younger than 5 years of age. The objective of this study was to characterize the CT and MR imaging findings in a series of 5 adult patients with pathologically proved AT/RT. All 5 AT/RTs were supratentorial. In 2 patients who underwent nonenhanced CT, the tumors appeared isoattenuated, and 1 of the 2 tumors contained calcifications. Solid portions of the tumors on MR imaging were isointense on T1-weighted, T2-weighted, and FLAIR images, and 1 case showed restricted diffusion on DWI. The tumors also demonstrated a bandlike rim of strong enhancement surrounding a central cystic area on contrast-enhanced T1-weighted imaging. One tumor was associated with destruction of the calvaria. Although AT/RTs can have nonspecific findings, the tumors in our series were large and isointense on T1-weighted, T2-weighted, and FLAIR images with central necrosis and prominent rim enhancement.
Highlights
In contrast to the pediatric neoplasm, most adult CNS rhabdoid tumors are supratentorial, with only 3 tumors located in the cerebellum and 2 in the spinal cord
We considered PNET, glioblastoma, gliosarcoma, highgrade oligodendroglioma, meningioma, and metastatic disease in the differential diagnosis of our patients
In summary, extremely rare and usually fatal, primary AT/RT of the brain should be considered in the differential diagnosis of an aggressive intracerebral neoplasm in adults
Summary
The objective of this study was to characterize the CT and MR imaging findings in a series of 5 adult patients with pathologically proved AT/RT. The goal of this study was to characterize the CT and MR imaging features of CNS AT/RT in 5 adults
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