Role of MRI for Evaluation of Uterine Giant Myoma: Case Report

Trapuzzano Orazio; Caputo Nicoletta; Marchese Stefano; Lacamera Ugo; Tamburrini Stefania; Smiraglio Claudia

doi:doi:10.11648/j.ijmi.20150303.13

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Role of MRI for Evaluation of Uterine Giant Myoma: Case Report

Trapuzzano Orazio, Caputo Nicoletta, Marchese Stefano, Lacamera Ugo, Tamburrini Stefania, Smiraglio Claudia

Published in International Journal of Medical Imaging (Volume 3, Issue 3)

Received: 29 January 2015 Accepted: 13 March 2015 Published: 19 May 2015

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Abstract

Uterine leiomyomas are common, benign, smooth muscle tumors of the uterus, occurring in 20-30% of women over age 35. A giant uterine leiomyoma is a tumor whose weight exceeds the arbitrary limit of approximately 11.4 kg (25 lb). Commonly multiple, leiomyomas can be described submucosal, intramural, subserosal. Large leiomyomas can cause various types of degeneration. The interest of the case lies in the difficulty of placing a differential diagnosis for the morphological characteristics of the large mass, due to non-characteristic aspect to the US and the MDCT. So MRI allowed to establish the relationship of the tumor with the uterus through the recognition of the vascular peduncle that connects the leiomyoma with fundus of the uterus. The application of MRI in the large pelvic masses goes beyond lesion detection, allowing in this case the typing, which is confirmed by the surgical findings.

Published in	International Journal of Medical Imaging (Volume 3, Issue 3)
DOI	10.11648/j.ijmi.20150303.13
Page(s)	59-62
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Uterine Giant Myoma, MRI-Pelvis, Pelvic Masses

References

[1]	Fried AM, Kenney CM 3rd, Stigers KB, Kacki MH, Buckley SL. (1996) Benign pelvic masses: sonographic spectrum. Radio Graphics 16(2):321-34
[2]	Fasih N, Prasad Shanbhogue AK, Macdonald DB, Fraser-Hill MA, Papadatos D, Kielar AZ, Doherty GP, Walsh C, McInnes M, Atri M. (2008) Leiomyomas beyond the Uterus: Unusual Locations, Rare Manifestations. Radio Graphics 28(7):1931-48
[3]	Murase E, Siegelman ES, Outwater EK, Perez-Jaffe LA, Tureck RW. (1999) Uterineleiomyomas: Histopathological features, MR imaging findings, differential diagnosis, and treatment. Radio Graphics 19(5):1179-97
[4]	Grapsa D, Smymiotis V, Hasiakos D, Kontogianni-Katsarou K, Kondi-Pafiti A. (2006) A giant uterine leiomyoma simulating an ovarian mass in a 16-year-old girl: a case report and review of the literature. Eur J Gynaecol Oncol. 27(3):294-6
[5]	Dancz CE, Macdonald HR. (2008) Massive cystic degeneration of a pedunculated leiomyoma. Fertil Steril. 90(4):1180-1
[6]	Nappi L, Matteo M, Giardina S, Rosenberg P, Indraccolo U, Greco P. (2008) Managment of uterine giant myoma. Arch Gynecol Obstet 278(1):61-3
[7]	Chopra S, Lev-Toaff AS, Ors F, Bergin D. (2006) Adenomyosis: Common and uncommon manifestations on sonography and magnetic resonance imaging. J Ultrasound Med. May;25(5):617-27
[8]	Stadsvold JL, Molpus KL, Baker JJ, Michael K, Remmenga SW. (2005) Conservative management of a myxoid endometrial stromal sarcoma in a 16-year-old nulliparous woman. Gynecol Oncol. Oct; 99(1):243-5.
[9]	Szklaruk J, Tamm EP, Choi H, Varavithya V. (2003) MR Imaging of Common and Uncommon Large Pelvic Masses. Radio Graphics 23(2): 403-424
[10]	Sala E, Rockall A, Rangarajan D, Kubik-Huch RA.2010The role of dynamic contrast-enhanced and diffusion weighted magnetic resonance imaging in the female pelvis. Eur J Radiol. Dec; 76(3):367-85.

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APA Style

Trapuzzano Orazio, Caputo Nicoletta, Marchese Stefano, Lacamera Ugo, Tamburrini Stefania, et al. (2015). Role of MRI for Evaluation of Uterine Giant Myoma: Case Report. International Journal of Medical Imaging, 3(3), 59-62. https://doi.org/10.11648/j.ijmi.20150303.13

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ACS Style

Trapuzzano Orazio; Caputo Nicoletta; Marchese Stefano; Lacamera Ugo; Tamburrini Stefania, et al. Role of MRI for Evaluation of Uterine Giant Myoma: Case Report. Int. J. Med. Imaging 2015, 3(3), 59-62. doi: 10.11648/j.ijmi.20150303.13

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AMA Style

Trapuzzano Orazio, Caputo Nicoletta, Marchese Stefano, Lacamera Ugo, Tamburrini Stefania, et al. Role of MRI for Evaluation of Uterine Giant Myoma: Case Report. Int J Med Imaging. 2015;3(3):59-62. doi: 10.11648/j.ijmi.20150303.13

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@article{10.11648/j.ijmi.20150303.13,
  author = {Trapuzzano Orazio and Caputo Nicoletta and Marchese Stefano and Lacamera Ugo and Tamburrini Stefania and Smiraglio Claudia},
  title = {Role of MRI for Evaluation of Uterine Giant Myoma: Case Report},
  journal = {International Journal of Medical Imaging},
  volume = {3},
  number = {3},
  pages = {59-62},
  doi = {10.11648/j.ijmi.20150303.13},
  url = {https://doi.org/10.11648/j.ijmi.20150303.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150303.13},
  abstract = {Uterine leiomyomas are common, benign, smooth muscle tumors of the uterus, occurring in 20-30% of women over age 35. A giant uterine leiomyoma is a tumor whose weight exceeds the arbitrary limit of approximately 11.4 kg (25 lb). Commonly multiple, leiomyomas can be described submucosal, intramural, subserosal. Large leiomyomas can cause various types of degeneration. The interest of the case lies in the difficulty of placing a differential diagnosis for the morphological characteristics of the large mass, due to non-characteristic aspect to the US and the MDCT. So MRI allowed to establish the relationship of the tumor with the uterus through the recognition of the vascular peduncle that connects the leiomyoma with fundus of the uterus. The application of MRI in the large pelvic masses goes beyond lesion detection, allowing in this case the typing, which is confirmed by the surgical findings.},
 year = {2015}
}

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TY  - JOUR
T1  - Role of MRI for Evaluation of Uterine Giant Myoma: Case Report
AU  - Trapuzzano Orazio
AU  - Caputo Nicoletta
AU  - Marchese Stefano
AU  - Lacamera Ugo
AU  - Tamburrini Stefania
AU  - Smiraglio Claudia
Y1  - 2015/05/19
PY  - 2015
N1  - https://doi.org/10.11648/j.ijmi.20150303.13
DO  - 10.11648/j.ijmi.20150303.13
T2  - International Journal of Medical Imaging
JF  - International Journal of Medical Imaging
JO  - International Journal of Medical Imaging
SP  - 59
EP  - 62
PB  - Science Publishing Group
SN  - 2330-832X
UR  - https://doi.org/10.11648/j.ijmi.20150303.13
AB  - Uterine leiomyomas are common, benign, smooth muscle tumors of the uterus, occurring in 20-30% of women over age 35. A giant uterine leiomyoma is a tumor whose weight exceeds the arbitrary limit of approximately 11.4 kg (25 lb). Commonly multiple, leiomyomas can be described submucosal, intramural, subserosal. Large leiomyomas can cause various types of degeneration. The interest of the case lies in the difficulty of placing a differential diagnosis for the morphological characteristics of the large mass, due to non-characteristic aspect to the US and the MDCT. So MRI allowed to establish the relationship of the tumor with the uterus through the recognition of the vascular peduncle that connects the leiomyoma with fundus of the uterus. The application of MRI in the large pelvic masses goes beyond lesion detection, allowing in this case the typing, which is confirmed by the surgical findings.
VL  - 3
IS  - 3
ER  -

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Author Information

Trapuzzano Orazio

Department of Experimental and Clinical Medicine–Radiology, University of Catanzaro “Magna Graecia”, Catanzaro, Italy
Caputo Nicoletta

Department of Experimental and Clinical Medicine–Radiology, University of Catanzaro “Magna Graecia”, Catanzaro, Italy
Marchese Stefano

Department of Experimental and Clinical Medicine–Radiology, University of Catanzaro “Magna Graecia”, Catanzaro, Italy
Lacamera Ugo

Department of Medical and Surgery Sciences, Clinical Surgery Unit University of Catanzaro “Magna Graecia”, Catanzaro, Italy
Tamburrini Stefania

Departement of Radiology, Pellegrini Hospital, Naples, Italy
Smiraglio Claudia

Department of Experimental and Clinical Medicine–Radiology, University of Catanzaro “Magna Graecia”, Catanzaro, Italy

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Plain Text BibTeX RIS

APA Style

Trapuzzano Orazio, Caputo Nicoletta, Marchese Stefano, Lacamera Ugo, Tamburrini Stefania, et al. (2015). Role of MRI for Evaluation of Uterine Giant Myoma: Case Report. International Journal of Medical Imaging, 3(3), 59-62. https://doi.org/10.11648/j.ijmi.20150303.13

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ACS Style

Trapuzzano Orazio; Caputo Nicoletta; Marchese Stefano; Lacamera Ugo; Tamburrini Stefania, et al. Role of MRI for Evaluation of Uterine Giant Myoma: Case Report. Int. J. Med. Imaging 2015, 3(3), 59-62. doi: 10.11648/j.ijmi.20150303.13

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AMA Style

Trapuzzano Orazio, Caputo Nicoletta, Marchese Stefano, Lacamera Ugo, Tamburrini Stefania, et al. Role of MRI for Evaluation of Uterine Giant Myoma: Case Report. Int J Med Imaging. 2015;3(3):59-62. doi: 10.11648/j.ijmi.20150303.13

Copy | Download

@article{10.11648/j.ijmi.20150303.13,
  author = {Trapuzzano Orazio and Caputo Nicoletta and Marchese Stefano and Lacamera Ugo and Tamburrini Stefania and Smiraglio Claudia},
  title = {Role of MRI for Evaluation of Uterine Giant Myoma: Case Report},
  journal = {International Journal of Medical Imaging},
  volume = {3},
  number = {3},
  pages = {59-62},
  doi = {10.11648/j.ijmi.20150303.13},
  url = {https://doi.org/10.11648/j.ijmi.20150303.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150303.13},
  abstract = {Uterine leiomyomas are common, benign, smooth muscle tumors of the uterus, occurring in 20-30% of women over age 35. A giant uterine leiomyoma is a tumor whose weight exceeds the arbitrary limit of approximately 11.4 kg (25 lb). Commonly multiple, leiomyomas can be described submucosal, intramural, subserosal. Large leiomyomas can cause various types of degeneration. The interest of the case lies in the difficulty of placing a differential diagnosis for the morphological characteristics of the large mass, due to non-characteristic aspect to the US and the MDCT. So MRI allowed to establish the relationship of the tumor with the uterus through the recognition of the vascular peduncle that connects the leiomyoma with fundus of the uterus. The application of MRI in the large pelvic masses goes beyond lesion detection, allowing in this case the typing, which is confirmed by the surgical findings.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Role of MRI for Evaluation of Uterine Giant Myoma: Case Report
AU  - Trapuzzano Orazio
AU  - Caputo Nicoletta
AU  - Marchese Stefano
AU  - Lacamera Ugo
AU  - Tamburrini Stefania
AU  - Smiraglio Claudia
Y1  - 2015/05/19
PY  - 2015
N1  - https://doi.org/10.11648/j.ijmi.20150303.13
DO  - 10.11648/j.ijmi.20150303.13
T2  - International Journal of Medical Imaging
JF  - International Journal of Medical Imaging
JO  - International Journal of Medical Imaging
SP  - 59
EP  - 62
PB  - Science Publishing Group
SN  - 2330-832X
UR  - https://doi.org/10.11648/j.ijmi.20150303.13
AB  - Uterine leiomyomas are common, benign, smooth muscle tumors of the uterus, occurring in 20-30% of women over age 35. A giant uterine leiomyoma is a tumor whose weight exceeds the arbitrary limit of approximately 11.4 kg (25 lb). Commonly multiple, leiomyomas can be described submucosal, intramural, subserosal. Large leiomyomas can cause various types of degeneration. The interest of the case lies in the difficulty of placing a differential diagnosis for the morphological characteristics of the large mass, due to non-characteristic aspect to the US and the MDCT. So MRI allowed to establish the relationship of the tumor with the uterus through the recognition of the vascular peduncle that connects the leiomyoma with fundus of the uterus. The application of MRI in the large pelvic masses goes beyond lesion detection, allowing in this case the typing, which is confirmed by the surgical findings.
VL  - 3
IS  - 3
ER  -

Copy | Download