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MRI of uterine leiomyosarcoma
Affiliation:1. Division of Otolaryngology – Head and Neck Surgery, The Montreal Children''s Hospital, McGill University Health Centre, Montreal, Quebec, Canada;2. Division of Pediatric General and Thoracic Surgery, The Montreal Children''s Hospital, McGill University Health Centre, Montreal, Quebec, Canada;3. Division of Pediatric Radiology, The Montreal Children''s Hospital, McGill University Health Centre, Montreal, Quebec, Canada;1. Diagnostic Radiology Dept., Allegheny General Hospital, 320 E North Ave, Pittsburgh, PA 15212, United States;2. Family Medicine Dept., Forbes Regional Hospital, 2570 Haymaker Rd, Monroeville, PA 15146, United States;1. Department of Obstetrics and Gynecology, University of Saskatchewan, Regina and Saskatoon, SK;2. Research and Performance Support, Saskatchewan Health Authority, Regina, SK
Abstract:
We report a case of a patient with uterine leiomyosarcoma. At MR 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.
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