Uterine leiomyosarcoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Pelvic pain and mass feeling.

Patient Data

Age: 50 years
Gender: Female
ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

A 195×145×160mm large well defined hetero enhancing solid cystic mass is noted at the right aspect of the uterus body and the fundus, displacing the endometrial cavity to the left side.

Additionally, a 48×34mm cystic lesion without a prominent enhancing solid component is noted on the left side. 

The hepatic attenuation value is less than the spleen, suggesting fatty liver disease.

A 20mm gallstone is present. 

Case Discussion

The patient underwent a total abdominal hysterectomy, bilateral salpingo oophorectomy, and histopathology evaluation confirmed uterine leiomyosarcoma, a generally poor prognosis malignant uterine tumor that arises from the myometrium.

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