title: Case report: MR imaging features of disseminated uterine leiomyosarcoma presenting after hysterectomy with morcellation.
abstract: A 53-year-old woman underwent elective hysterectomy for symptomatic anemia secondary to abnormal uterine bleeding. She presented 15 months later with complaints of abdominal fullness. Abdominopelvic magnetic resonance imaging demonstrated multiple confluent enhancing solid masses centered in the pelvis and extending cranially to the level of the umbilicus. Additional separate nodules also were visible along the peritoneum. Biopsy demonstrated leiomyosarcoma. Additional clinical information was obtained, which revealed that the patient's prior hysterectomy was performed with morcellation. In November 2014, the United States Food and Drug Administration issued a warning discouraging the use of morcellation during hysterectomy and myomectomy because of the risk of seeding unsuspected malignancy. Radiologists should be aware of this potential complication of morcellation and its imaging appearance so that the correct diagnosis can be suggested in the imaging report.
authors.affiliation: Department of Radiology & Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Tadi
authors.initials: T
authors.lastname: Ciszak
authors.affiliation: Department of Radiology & Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Pardeep K
authors.initials: PK
authors.lastname: Mittal
authors.affiliation: Division of Surgical Oncology, Department of Surgery, Winship Cancer Institute, Emory University, Atlanta, GA, USA.
authors.forename: Patrick
authors.initials: P
authors.lastname: Sullivan
authors.affiliation: Division of Surgical Oncology, Department of Surgery, Winship Cancer Institute, Emory University, Atlanta, GA, USA.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Cardona
authors.affiliation: Department of Pathology, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Krisztina Z
authors.initials: KZ
authors.lastname: Hanley
authors.affiliation: Division of Gynecologic Oncology, Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Namita
authors.initials: N
authors.lastname: Khanna
authors.affiliation: Department of Radiology & Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA. courtney.moreno@emoryhealthcare.org.
authors.forename: Courtney Coursey
authors.initials: CC
authors.lastname: Moreno
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy; D007890:Leiomyosarcoma / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D000069577:Morcellation; D014594:Uterine Neoplasms / Q000473:pathology*
keywords: Leiomyoma; Leiomyosarcoma; Magnetic resonance imaging; Morcellation