Mélia P, Maestro C, Bruneton J N, Gasperoni A, Peyrottes I, Teissier E, Marcy P Y
Service de Radiodiagnostic, Centre Antoine-Lacassagne, Nice.
J Radiol. 1995 Jan;76(1):69-72.
Prognosis is poor for uterine leiomyosarcomas. Diagnosis is often an unexpected pathology discovery after hysterectomy for fibroma. Prognosis depends on the degree of locoregional extension and thus on early diagnosis. Echography and computed tomography scan are note very specific. There is little literature on imagining studies, and particularly on MRI in this pathology. Yet MRI, especially the T2 weighted sequences, is quite interesting for evaluating tumour extension in the uterus. It can be used whenever an abnormal increase in size is observed during the per- or postmenopausal period in a women with a fibroma. We report two cases of uterine leiomyosarcoma explored by MRI and review the literature.
子宫平滑肌肉瘤的预后较差。诊断通常是在因纤维瘤行子宫切除术后意外发现的病理结果。预后取决于局部区域扩展的程度，因此取决于早期诊断。超声检查和计算机断层扫描并不十分特异。关于影像学研究，尤其是关于这种病理情况下的磁共振成像（MRI）的文献很少。然而，MRI，尤其是T2加权序列，对于评估肿瘤在子宫内的扩展非常有意义。在绝经前后患有纤维瘤的女性中，只要观察到子宫大小异常增加，就可以使用MRI。我们报告了两例通过MRI检查的子宫平滑肌肉瘤病例并复习相关文献。
