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Radiation Medicine

, Volume 25, Issue 3, pp 127–129 | Cite as

Huge uterine leiomyoma with adenomyotic cysts mimicking uterine sarcoma on MR imaging

  • Tsuneo YamashiroEmail author
  • Masaki Gibo
  • Takashi Utsunomiya
  • Sadayuki Murayama
CASE REPORT

Abstract

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.

Key words

MRI Uterus Leiomyoma Myxoid degeneration Adenomyotic cyst 

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References

  1. 1.
    Silverberg, SG, Kurman, RJ 1992Smooth muscle and other mesenchymal tumorsRosai, J eds. Tumors of the uterine corpus and gestational trophoblastic diseaseArmed Forces Institute of PathologyWashington DC11330Google Scholar
  2. 2.
    Hamlin, DJ, Pettersson, H, Fitzsimmons, J, Morgan, LS 1985MR imaging of uterine leiomyomas and their complicationsJ Comput Assist Tomogr99027PubMedCrossRefGoogle Scholar
  3. 3.
    Hricak, H, Tscholakoff, D, Heinrichs, L, Fisher, MR, Dooms, GC, Reinhold, C,  et al. 1986Uterine leiomyomas: correlation of MR, histopathologic findings, and symptomsRadiology15838591PubMedGoogle Scholar
  4. 4.
    Swe, TT, Onitsuka, H, Kawamoto, K, Ueyama, T, Tsuruchi, N, Masuda, K 1992Uterine leiomyoma: correlation between signal intensity on magnetic resonance imaging and pathologic characteristicsDiagn Radiol1023542Google Scholar
  5. 5.
    Ueda, H, Togashi, K, Konishi, I, Kataoka, ML, Koyama, T, Fujiwara, T,  et al. 1999Unusual appearances of uterine leiomyomas: MR imaging findings and their histopathologic backgroundsRadiographics1913145Google Scholar
  6. 6.
    Togashi, K, Ozawa, H, Konishi, I, Itoh, H, Nishimura, K, Fujisawa, I,  et al. 1989Enlarged uterus: differentiation between adenomyosis and leiomyoma with MR imagingRadiology1715314PubMedGoogle Scholar
  7. 7.
    Okizuka, H, Sugimura, K, Takemori, M, Obayashi, C, Kitao, M, Ishida, T 1993MR detection of degenerating uterine leiomyomasJ Comput Assist Tomogr177606PubMedCrossRefGoogle Scholar
  8. 8.
    Yamashita, Y, Torashima, M, Takahashi, M, Tanaka, N, Katabuchi, H, Miyazaki, K,  et al. 1993Hyperintense uterine leiomyoma at T2-weighted MR imaging: differentiation with dynamic enhanced MR imaging and clinical implicationsRadiology1897215PubMedGoogle Scholar
  9. 9.
    Keating, S, Quenville, NF, Korn, GW, Clement, PB 1986Ruptured adenomyotic cyst of the uterusArch Gynecol23716973PubMedCrossRefGoogle Scholar
  10. 10.
    Kataoka, ML, Togashi, K, Konishi, I, Hatabu, H, Morikawa, K, Kojima, N,  et al. 1998MRI of adenomiotic cyst of the uterusJ Comput Assist Tomogr225559PubMedCrossRefGoogle Scholar
  11. 11.
    Reinhold, C, Tafazoli, F, Mehio, A, Wang, L, Atri, M, Siegelman, ES,  et al. 1999Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlationRadiographics1914760Google Scholar
  12. 12.
    Tamai, K, Togashi, K, Ito, T, Morisawa, N, Fujiwara, T, Koyama, T 2005MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfallsRadiographics252140PubMedCrossRefGoogle Scholar
  13. 13.
    Kido, A, Togashi, K, Koyama, T, Yamaoka, T, Fujiwara, T, Fujii, S 2003Diffusely enlarged uterus: evaluation with MR imagingRadiographics23142339PubMedCrossRefGoogle Scholar
  14. 14.
    Sahdev, A, Sohaib, SA, Jacobs, I, Shepherd, JH, Oram, DH, Reznek, RH 2001MR imaging of uterine sarcomasAJR Am J Roentgenol177130711PubMedGoogle Scholar
  15. 15.
    Szklaruk, F, Tamm, EP, Choi, H, Varavithya, V 2003MR imaging of common and uncommon large pelvic massesRadiographics2340324PubMedCrossRefGoogle Scholar
  16. 16.
    Tanaka, YO, Nishida, M, Tsunoda, H, Okamoto, Y, Yoshikawa, H 2004Smooth muscle tumors of uncertain malignant potential and leiomyosarcomas of the uterus: MR findingsJ Magn Reson Imaging209981007PubMedCrossRefGoogle Scholar
  17. 17.
    Takemori, M, Nishimura, R, Sugimura, K 1992Magnetic resonance imaging of uterine leiomyosarcomaArch Gynecol Obstet2512158PubMedGoogle Scholar
  18. 18.
    Burns, B, Curry, RH, Bell, MEA 1979Morphologic features of prognostic significance in uterine smooth muscle tumors: a review of eighty-four casesAm J Obstet Gynecol13510914PubMedGoogle Scholar

Copyright information

© Japan Radiological Society 2007

Authors and Affiliations

  • Tsuneo Yamashiro
    • 1
    Email author
  • Masaki Gibo
    • 1
  • Takashi Utsunomiya
    • 2
  • Sadayuki Murayama
    • 1
  1. 1.Department of Radiology, Graduate School of Medical ScienceUniversity of the RyukyusOkinawaJapan
  2. 2.Department of Clinical Radiology, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan

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