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Http://dx.doi.org/10.2214/ajr.181.5.1811369

has been cited by the following article:

• TITLE: Revisiting Imaging and Pathology of Malignant Appearing Uterine Smooth Muscle Tumors: A Mistaken Identity of Leiomyosarcoma on MRI

  AUTHORS: Mark Juhl, Martha-Gracia Knuttinen, Rajul Kothari, John Groth

  KEYWORDS: Magnetic Resonance Imaging, Uterine Fibroid Embolization, Fibroid, Leiomyoma, Leiomyosarcoma

  JOURNAL NAME: Open Journal of Radiology, Vol.4 No.2, May 27, 2014

  ABSTRACT: Uterine leiomyoma is a relatively common condition occurring in a majority of African American and Caucasian women by age 50. Magnetic resonance imaging of the pelvis with contrast is the modality of choice when evaluating uterine tumors. We report a case of a patient with a four-day history of intra-menstrual vaginal bleeding who underwent magnetic resonance imaging of the pelvis that suggested the tumor was a leiomyosarcoma, the malignant counterpart of leiomyoma. Therefore, the patient underwent pre-operative uterine artery embolization to decrease blood loss with exploratory laparotomy, resection of pelvic mass and dilation and curettage. Pathologic evaluation of the mass returned a diagnosis of leiomyoma. Magnetic resonance imaging evaluation of leiomyomata remains difficult. Further development of imaging parameters could improve diagnosis of benign uterine fibroids.