Beyond adenocarcinoma: MRI of uncommon rectal neoplasms and mimickers

Abdom Radiol (NY). 2019 Nov;44(11):3581-3594. doi: 10.1007/s00261-019-02045-9.

Abstract

Objective: To provide a review of rare rectal tumors beyond adenocarcinoma.

Results: Rectal cancer is a common malignancy, both in the United States and abroad. In addition to adenocarcinoma, abdominal radiologists will encounter a variety of other less common rectal masses, both benign and malignant neoplasms as well as non-neoplastic mimickers. Familiarity with these conditions and their characteristic features on MRI is useful in clinical practice. In this article, a number of such conditions are discussed, with an emphasis on distinguishing features on MRI of the rectum.

Conclusion: Familiarity with the MRI features of rare rectal tumors beyond adenocarcinoma, as well as a small number of non-neoplastic mimics, is important for abdominal imagers to make diagnostic differentials and to assist in treatment planning.

Keywords: Anorectal melanoma; Basidiobolomycosis; Carcinoid; Gastrointestinal lymphoma; Neuroendocrine tumor; Rare tumors; Rectal cancer.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma / diagnostic imaging*
  • Adenocarcinoma / pathology
  • Contrast Media
  • Diagnosis, Differential
  • Humans
  • Magnetic Resonance Imaging*
  • Rectal Neoplasms / diagnostic imaging*
  • Rectal Neoplasms / pathology

Substances

  • Contrast Media