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Bilateral ovarian leiomyomas: CT and MRI features
T Yoshitake1, Y Asayama, K Yoshimitsu
1Department of Clinical Radiology, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Abdominal Imaging
|June 9, 2004
Summary
This study reports a rare case of bilateral ovarian leiomyomas in a young woman. Pathologic examination confirmed the diagnosis, revealing degenerative changes and torsion in one tumor.
Area of Science:
- Gynecologic Oncology
- Reproductive Endocrinology
- Pathology
Background:
- Leiomyomas are typically found in the uterus, with ovarian origin being exceptionally rare.
- Bilateral ovarian involvement further increases the rarity of this condition.
Observation:
- A 21-year-old woman presented with bilateral adnexal masses.
- Magnetic resonance imaging (MRI) revealed heterogeneous signal intensities and enhancement patterns, initially suggesting fibromas or thecomas with degeneration.
Findings:
- Pathologic examination of excised bilateral ovarian masses confirmed leiomyomas.
- The left ovarian leiomyoma exhibited hemorrhagic and myxoid degeneration, complicated by 180-degree torsion.
Implications:
- This case highlights the importance of considering leiomyomas in the differential diagnosis of rare ovarian tumors.
- Understanding the imaging characteristics and potential complications like torsion is crucial for accurate diagnosis and management.
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