Epithelioid leiomyoma of the uterus: A case report with magnetic resonance imaging findings

Epithelioid leiomyoma of the uterus is rare, and its prognostic factors have not been well established. Moreover, radiologic findings of this disease have not been previously documented. This is a case of a 49-year-old woman with epithelioid leiomyoma of the uterus. Magnetic resonance imaging (MRI)...

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Main Authors: Ayaka Kita (Author), Tetsuo Maeda (Author), Kazuhiro Kitajima (Author), Homare Murakoshi (Author), Takahiro Watanabe (Author), Mieko Inagaki (Author), Shigeki Yoshida (Author)
Format: Book
Published: Elsevier, 2022-04-01T00:00:00Z.
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100 1 0 |a Ayaka Kita  |e author 
700 1 0 |a Tetsuo Maeda  |e author 
700 1 0 |a Kazuhiro Kitajima  |e author 
700 1 0 |a Homare Murakoshi  |e author 
700 1 0 |a Takahiro Watanabe  |e author 
700 1 0 |a Mieko Inagaki  |e author 
700 1 0 |a Shigeki Yoshida  |e author 
245 0 0 |a Epithelioid leiomyoma of the uterus: A case report with magnetic resonance imaging findings 
260 |b Elsevier,   |c 2022-04-01T00:00:00Z. 
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500 |a 10.1016/j.crwh.2022.e00386 
520 |a Epithelioid leiomyoma of the uterus is rare, and its prognostic factors have not been well established. Moreover, radiologic findings of this disease have not been previously documented. This is a case of a 49-year-old woman with epithelioid leiomyoma of the uterus. Magnetic resonance imaging (MRI) revealed a heterogeneous high-intensity mass with multiple ordinary uterine leiomyomas. The mass showed a slightly diffusion-restricted site. Since benign tumors could not be confidently diagnosed using these MRI findings, total abdominal hysterectomy with bilateral salpingectomy was performed, and a pathological diagnosis of epithelioid leiomyoma of the uterus was established. Microscopically, this lesion showed edematous changes and cyst formation, causing a heterogeneous appearance on T2-weighted images. In addition, the diffusion-restricted site is considered to be consistent with areas of solid and dense proliferation of tumor cells. The patient survived and was well 10 months after the surgery. It is important to recognize this benign variant of leiomyoma with an unusual appearance, to provide appropriate therapeutic management. 
546 |a EN 
690 |a Epithelioid leiomyoma 
690 |a MRI 
690 |a Uterine tumor 
690 |a Surgery 
690 |a RD1-811 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Case Reports in Women's Health, Vol 34, Iss , Pp e00386- (2022) 
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