MRI of uterine leiomyosarcoma.
We report a case of a patient with uterine leiomyosarcoma. At MRI imaging, the patient was found to have a bilobed uterine mass with two components. While the caudal portion of the mass had the MRI appearance of a simple leiomyoma, the cephalad component showed atypical degeneration with an irregular contour. Malignant degeneration of a leiomyoma was confirmed by operative and histologic examination. We conclude that malignant degeneration should be considered on MR images of any degenerated leiomyoma showing an irregular contour.
Pattani
S J
SJ
Department of Radiology, Bridgeport Hospital, CT 06610, USA.
Kier
R
R
Deal
R
R
Luchansky
E
E
D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology; D007890:Leiomyosarcoma / Q000175:diagnosis* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000473:pathology; D014599:Uterus / Q000473:pathology