42 years old female who had palpable mass

Images

Doctor's Information

Name : Morteza
Family : Sanei Taheri
Affiliation :Radiology Department,Shohada Tajrish Hospital,SBMU
Academic Degree : Associate Professor of Radiology
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Mohadese Mahvari

Case Section

Genital Female Imaging

Patient's Information

Gender : Female
Age : 42

Clinical Summary

a 42 years old female who had palpable mass

Imaging Findings

In obtained MRI a large mass lesion arising from right side of uterus is seen .Its dimension is 185*160*138.The lesion has minimal peripheral enhancement after contrast injection.

Differential Diagnosis

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Final Diagnosis

Huge bilobulated submocusal leiomoyoma

Discussion (Related Text)

• Leiomyomas are predominantly composed of smooth muscle cells with variable amounts of fibrous connective tissue. They are benign tumours that may be solitary or multiple (majority of cases : ~ 85 % 8) and range significantly in size. They may have a number of locations within or out of the uterus :
Within the uterus
•intra-mural leiomyoma - most common
•sub-serosal leiomyoma
•sub-mucosal leiomyoma - least common : ~ 10-15 %

References

Murase E, Siegelman ES, Outwater EK et-al. Uterine leiomyomas: histopathologic features, MR imaging findings, differential diagnosis, and treatment. Radiographics. 19 (5): 1179-97. Radiographics (full text) - Pubmed citation