巨大子宫平滑肌瘤伴子宫腺肌病囊肿，在磁共振成像上酷似子宫肉瘤。

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

作者信息

Yamashiro Tsuneo, Gibo Masaki, Utsunomiya Takashi, Murayama Sadayuki

机构信息

Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara-cho, Okinawa 903-0215, Japan.

出版信息

Radiat Med. 2007 Apr;25(3):127-9. doi: 10.1007/s11604-006-0106-2. Epub 2007 Apr 27.

DOI:10.1007/s11604-006-0106-2

PMID:17450337

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.

摘要

一名39岁出现腹部肿块的女性的磁共振成像显示，一个肿瘤伴有从宫腔延伸至浆膜下的出血性病变。因可能患有子宫肉瘤而进行了子宫切除术。组织学检查诊断为子宫平滑肌瘤伴严重黏液样变性且无恶性成分。出血性病变被诊断为子宫腺肌病囊肿，结果与子宫肉瘤相似。