EURORAD ESR

Case 12733

Uterine smooth muscle tumour of uncertain malignant potential: an entity difficult to diagnose

Author(s)
Xiropotamou ON1, Tsili AC1, Vrekousis Th2, Evagelou Ch2, Maliakas V1, Argyropoulou MI1

(1) Department of Clinical Radiology
(2) Department of Obstetrics and Gynaecology
Medical School,
University of Ioannina,
45110, Ioannina, Greece.
Email: a_tsili@yahoo.gr, atsili@cc.uoi.gr
 
Patient
female, 48 year(s)
 
 
  • Figure 1
    MRI examination
     

    Sagittal Τ2-weighted image demonstrates a large myometrial uterine mass, mainly hyperintense, extending into the endometrial cavity. No signs of cervical invasion are seen.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Comparative studies; Special Focus: Neoplasia;

    Axial T1-weighted image shows uterine mass with areas of high signal, indicative of haemorrhage, which was subsequently confirmed on pathology.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Comparative studies; Special Focus: Neoplasia;

    Transverse diffusion-weighted echo planar image (b= 800 smm2) depicts lesion heterogeneity.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Comparative studies; Special Focus: Neoplasia;

    Transverse ADC map (b= 800 smm2) shows uterine mass with variable signal intensity. The mean ADC value was 1.500 x 10-3 mm2 s-1.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Comparative studies; Special Focus: Neoplasia;

    Sagittal dynamic contrast-enhanced image (early phase) depicts heterogeneous mass enhancement.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Comparative studies; Special Focus: Neoplasia;
     
     
Sagittal Τ2-weighted image demonstrates a large myometrial uterine mass, mainly hyperintense, extending into the endometrial cavity. No signs of cervical invasion are seen.
 
Axial T1-weighted image shows uterine mass with areas of high signal, indicative of haemorrhage, which was subsequently confirmed on pathology.
 
Transverse diffusion-weighted echo planar image (b= 800 smm2) depicts lesion heterogeneity.
 
Transverse ADC map (b= 800 smm2) shows uterine mass with variable signal intensity. The mean ADC value was 1.500 x 10-3 mm2 s-1.
 
Sagittal dynamic contrast-enhanced image (early phase) depicts heterogeneous mass enhancement.
 
 
 
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