Leiomyosarcoma of the vagina: MR findings

Received 10 October 2008; accepted 8 January 2009. published online 09 March 2009.

Abstract

We report the magnetic resonance imaging findings of a case of vaginal leiomyosarcoma. The lesion was demonstrated as a well-defined heterogeneously hyperintense mass within the vagina on T2-weighted images and was demonstrated as a hypointense mass on T1-weighted images. The mass showed irregular enhancement on fat-suppressed T1-weighted images after administration of gadopentate dimeglumine. On pathological specimen, the nonenhancing foci of the mass were seen as the necrotic portion of the lesion.

Keywords: Vagina, Leiomyosarcoma, Magnetic resonance imaging

a Department of Radiology, Kyung Hee University East–West Neo Medical Center, 149, Sangil-Dong, Gangdong-Gu, Seoul 134-090, South Korea

b Department of Obstetrics and Gynecology, Kyung Hee University East–West Neo Medical Center, 149, Sangil-Dong, Gangdong-Gu, Seoul 134-090, South Korea

c Department of Pathology, Kyung Hee University East–West Neo Medical Center, 149, Sangil-Dong, Gangdong-Gu, Seoul 134-090, South Korea

d Department of Radiology, Kyung Hee University Medical Center, 1 Hoegi-Dong, Dongdaemun-Gu, Seoul 130-702, South Korea

Corresponding author. Department of Radiology, Kyung Hee University East–West Neo Medical Center, 149, Sangil-Dong, Gangdong-Gu, Seoul 134-090, South Korea. Tel.: +82 2 440 6183; fax: +82 2 440 6932.

PII: S0899-7071(09)00026-6

doi:10.1016/j.clinimag.2009.01.015

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