TY - JOUR
T1 - Endometrial stromal sarcoma mimicking submucosal myoma protruding to the vagina
T2 - MRI findings
AU - Chien, Jerry Chin Wei
AU - Hsieh, Shu Chiang
AU - Lee, R. C.
AU - Chen, Cheng-Yu
AU - Cheng, Chien-Jui
AU - Chan, Wing P.
PY - 2005
Y1 - 2005
N2 - A 46-year-old woman complained of persistent abnormal vaginal bleeding over ten days. Her intrauterine device had been removed two years before. Soon after, she suffered from menorrhagia and metrorrhagia. An incidental finding of severe anemia was also noted. In this admission, our initial T2-weighted magnetic resonance imaging (MRI) revealed a well-demarcated mass predominantly in the uterine cavity. The mass was depicted by an isointense signal relative to the myometrium on T1-weighted images, high signal intensity on T2-weighted images, and slightly heterogeneous enhancement on post-contrast images. The patient refused surgery. After two years, follow-up MRI showed a pedunculated mass protruding into the upper third of the vagina with a stalk connecting to the posterior wall of the uterine cavity, simulating submucosal myoma. Histological diagnosis was compatible with low-grade endometrial stromal sarcoma.
AB - A 46-year-old woman complained of persistent abnormal vaginal bleeding over ten days. Her intrauterine device had been removed two years before. Soon after, she suffered from menorrhagia and metrorrhagia. An incidental finding of severe anemia was also noted. In this admission, our initial T2-weighted magnetic resonance imaging (MRI) revealed a well-demarcated mass predominantly in the uterine cavity. The mass was depicted by an isointense signal relative to the myometrium on T1-weighted images, high signal intensity on T2-weighted images, and slightly heterogeneous enhancement on post-contrast images. The patient refused surgery. After two years, follow-up MRI showed a pedunculated mass protruding into the upper third of the vagina with a stalk connecting to the posterior wall of the uterine cavity, simulating submucosal myoma. Histological diagnosis was compatible with low-grade endometrial stromal sarcoma.
KW - Endometrium
KW - Magnetic resonance imaging (MRI)
KW - Sarcoma
KW - Tumor
KW - Uterus
KW - Vagina
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M3 - Article
C2 - 16398232
AN - SCOPUS:29744450959
SN - 0392-2936
VL - 26
SP - 657
EP - 661
JO - European Journal of Gynaecological Oncology
JF - European Journal of Gynaecological Oncology
IS - 6
ER -