Pattani S J, Kier R, Deal R, Luchansky E
Department of Radiology, Bridgeport Hospital, CT 06610, USA.
Magn Reson Imaging. 1995;13(2):331-3. doi: 10.1016/0730-725x(95)93813-5.
We report a case of a patient with uterine leiomyosarcoma. At MRI 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.
我们报告一例子宫平滑肌肉瘤患者。在MRI成像中，发现该患者有一个分叶状子宫肿块，由两个部分组成。肿块的尾部在MRI上表现为单纯的平滑肌瘤，而头部成分显示出非典型变性，轮廓不规则。通过手术和组织学检查证实了平滑肌瘤的恶性变性。我们得出结论，对于任何轮廓不规则的变性平滑肌瘤的MR图像，都应考虑恶性变性。
