Document Detail


MR imaging features of uterine adenomyomas.
MedLine Citation:
PMID:  20652694     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: To evaluate the magnetic resonance (MR) imaging features of uterine adenomyoma in comparison with histopathologic findings.
MATERIALS AND METHODS: MR images of seven patients who had surgically proven uterine adenomyoma were retrospectively reviewed by two radiologists in consensus regarding the morphologic appearance, including tumor size, location, margin, presence of concomitant adenomyosis, presence and signal intensity of cavity within tumor, and signal intensity and enhancement pattern of solid portion of tumor. MR imaging findings were correlated with histopathologic findings.
RESULTS: Tumor location was submucosal in three cases, subserosal in two, and mixed mural/subserosal in two. All tumors were well circumscribed on T2-weighted images and contrast-enhanced fat-suppressed T1-weighted images. In six cases, well defined cavities of high signal intensity, which reflected hemorrhagic cavities pathologically, were demonstrated within the tumors on T1-weighted images. Concomitant adenomyosis was observed in five cases. Solid portion of all tumors except hemorrhagic cavities exhibited iso-signal intensity on T1-weighted images, various signal intensity on T2-weighted images, and homogeneous enhancement on contrast-enhanced fat-suppressed T1-weighted images in five cases.
CONCLUSION: When MR imaging shows a well circumscribed mass with hemorrhagic cavities of high signal intensity on T1-weighted images and concomitant adenomyosis in the uterus, adenomyoma should be considered in the differential diagnosis.
Authors:
Sung Eun Song; Deuk Jae Sung; Beom Jin Park; Min Ju Kim; Sung Bum Cho; Kyeong Ah Kim
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Abdominal imaging     Volume:  36     ISSN:  1432-0509     ISO Abbreviation:  Abdom Imaging     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9303672     Medline TA:  Abdom Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  483-8     Citation Subset:  IM    
Affiliation:
Department of Radiology, Korea University Medical Center, Seoul, Korea.
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