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Bilateral ovarian leiomyomas: CT and MRI features

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Abstract

We recently treated a 21-year-old woman with leiomyomas arising from the bilateral ovaries, a very rare condition. On magnetic resonance imaging, more than half of the left adnexal mass showed low signal intensity on T2-weighted images and good enhancement by gadolinium-DTPA, and the remaining part showed high signal intensity on T2-weighted images and no enhancement. The right adnexal mass showed homogeneously low signal intensity on T2-weighted images, so the lesions initially were diagnosed as ovarian fibromas or as the-comas with a certain degree of degeneration. Pathologic examination of the excised tumors proved that they were bilateral ovarian leiomyomas; in addition, the tumor from the left side showed hemorrhagic and myxoid changes with torsion of 180 degrees.

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Authors and Affiliations

  1. Department of Clinical Radiology, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    T. Yoshitake, Y. Asayama, K. Yoshimitsu, H. Irie, H. Aibe, T. Tajima, A. Nishie, T. Nakayama, D. Kakihara & H. Honda

  2. Department of Gynecology and Obstetrics, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    K. Ariyoshi

  3. Department of Anatomic Pathology, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    E. Kaneki

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  1. T. Yoshitake
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  2. Y. Asayama
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  3. K. Yoshimitsu
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  4. H. Irie
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  5. H. Aibe
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  6. T. Tajima
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  7. A. Nishie
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  8. T. Nakayama
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  9. D. Kakihara
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  10. K. Ariyoshi
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  11. E. Kaneki
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  12. H. Honda
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Corresponding author

Correspondence to Y. Asayama.

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Yoshitake, T., Asayama, Y., Yoshimitsu, K. et al. Bilateral ovarian leiomyomas: CT and MRI features. Abdominal Imaging 30, 117–119 (2004). https://doi.org/10.1007/s00261-004-0202-7

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  • DOI: https://doi.org/10.1007/s00261-004-0202-7

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