%0 Journal Article
%T Revisiting Imaging and Pathology of Malignant Appearing Uterine Smooth Muscle Tumors: A Mistaken Identity of Leiomyosarcoma on MRI
%A Mark Juhl
%A Martha-Gracia Knuttinen
%A Rajul Kothari
%A John Groth
%J Open Journal of Radiology
%P 177-181
%@ 2164-3032
%D 2014
%I Scientific Research Publishing
%R 10.4236/ojrad.2014.42023
%X <p style=\"text-align:justify;\">
	Uterine leiomyoma
is a relatively common condition occurring in a majority of African American
and Caucasian women by age 50. Magnetic resonance imaging of the pelvis with
contrast is the modality of choice when evaluating uterine tumors. We report a
case of a patient with a four-day history of intra-menstrual vaginal bleeding
who underwent magnetic resonance imaging of the pelvis that suggested the tumor
was a leiomyosarcoma, the malignant counterpart of leiomyoma. Therefore, the
patient underwent pre-operative uterine artery embolization to decrease blood
loss with exploratory laparotomy, resection of pelvic mass and dilation and
curettage. Pathologic evaluation of the mass returned a diagnosis of leiomyoma.
Magnetic resonance imaging evaluation of leiomyomata remains difficult. Further
development of imaging parameters could improve diagnosis of benign uterine
fibroids.
</p>
%K Magnetic Resonance Imaging
%K Uterine Fibroid Embolization
%K Fibroid
%K Leiomyoma
%K Leiomyosarcoma
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=46304