EURORAD ESR

Case 1590

Prolapsed submucosal uterine leiomyoma

Author(s)
C. Oliveira, S. Vinhais, T. M. Cunha
 
Patient
female, 30 year(s)
 
 
  • Figure 1
    Transvaginal ultrasound

    A uterine leiomyoma is evident. It seems to display intramural/submucous growth.

     
    Area of Interest: unknown; Imaging Technique: Transvaginal ultrasound;
     
     
  • Figure 2
    T2-weighted images
     

    This axial T2-weighted image is at the level of the body of the uterus. The leiomyoma is partially identified as a heterogeneous, lesion of intermediate signal intensity inside the uterine cavity.

     
    Area of Interest: unknown; Imaging Technique: T2-weighted images;

    This axial T2-weighted image is at the level of the uterine cervix. The leiomyoma is already protruding through the cervical canal.

     
    Area of Interest: unknown; Imaging Technique: T2-weighted images;

    This sagittal T2-weighted uterine scan shows the leiomyoma (intermediate signal intensity, heterogeneous) protruding through the cervical canal. Cystic/myxoid degeneration is present as areas of high signal intensity.

     
    Area of Interest: unknown; Imaging Technique: T2-weighted images;

    This parasagittal T2-weighted uterine scan was performed to the left of the previous one and clearly depicts the leiomyoma's stalk (white arrow).

     
    Area of Interest: unknown; Imaging Technique: T2-weighted images;
     
     
  • Figure 3
    Hysterectomy gross specimen

    Hysterectomy specimen shows a prolapsing leiomyoma. The stalk implantation point is clearly evident. Degeneration of the cystic/myxoid type is also seen.

     
    Area of Interest: unknown; Imaging Technique: Hysterectomy gross specimen;
     
     
A uterine leiomyoma is evident. It seems to display intramural/submucous growth.
 
This axial T2-weighted image is at the level of the body of the uterus. The leiomyoma is partially identified as a heterogeneous, lesion of intermediate signal intensity inside the uterine cavity.
 
This axial T2-weighted image is at the level of the uterine cervix. The leiomyoma is already protruding through the cervical canal.
 
This sagittal T2-weighted uterine scan shows the leiomyoma (intermediate signal intensity, heterogeneous) protruding through the cervical canal. Cystic/myxoid degeneration is present as areas of high signal intensity.
 
This parasagittal T2-weighted uterine scan was performed to the left of the previous one and clearly depicts the leiomyoma's stalk (white arrow).
 
Hysterectomy specimen shows a prolapsing leiomyoma. The stalk implantation point is clearly evident. Degeneration of the cystic/myxoid type is also seen.
 
 
 
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