Huge uterine leiomyoma with adenomyotic cysts mimicking uterine sarcoma on MR imaging.
Magnetic resonance imaging of a 39-year-old woman who presented with an abdominal mass revealed a tumor with hemorrhagic lesions extending from the intrauterine space to the subserosa. Hysterectomy was performed for probable uterine sarcoma. The histological examination diagnosed uterine leiomyoma with severe myxoid degeneration and without malignant components. Hemorrhagic lesions were diagnosed as adenomyotic cysts, resulting in findings similar to those of a uterine sarcoma.
Yamashiro
Tsuneo
T
Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara-cho, Okinawa 903-0215, Japan. clatsune@yahoo.co.jp
Gibo
Masaki
M
Utsunomiya
Takashi
T
Murayama
Sadayuki
S
D000328:Adult; D003560:Cysts / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D012509:Sarcoma / Q000175:diagnosis; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000601:surgery