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Extrauterine leiomyomatosis, the great mimicker
M Martínez-Cachero García1, R Menéndez de Llano Ortega1, L Martínez Camblor1
1Servicio de Radiodiagnóstico, Hospital Universitario Central de Asturias, Oviedo, Spain.
Radiologia
|June 2, 2023
Summary
Extrauterine leiomyomas, often seen in women with prior hysterectomy, present rare growth patterns. These leiomyomas can mimic cancer, posing diagnostic challenges and potentially leading to errors.
Area of Science:
- Radiology
- Gynecologic Pathology
Background:
- Extrauterine leiomyomas are benign smooth muscle tumors found outside the uterus.
- They can present diagnostic challenges due to their varied appearances.
Purpose of the Study:
- To delineate the radiographic features of diverse extrauterine leiomyomatosis forms.
- To aid in differentiating these lesions from malignancies.
Main Methods:
- Review of imaging findings (radiography, CT, MRI) of pathologically confirmed extrauterine leiomyomas.
- Correlation of imaging characteristics with clinical history and histopathology.
Main Results:
- Radiographic features vary significantly depending on the leiomyoma's location and growth pattern.
- Common locations include the abdomen and pelvis, often post-hysterectomy.
- Mimicry of malignant neoplasms is a frequent observation.
Conclusions:
- Extrauterine leiomyomas, particularly those with rare growth patterns, are most common in reproductive-aged women with a history of hysterectomy.
- Accurate radiographic interpretation is crucial to avoid misdiagnosis as malignancy.
