Uterine leiomyoma with fatty degeneration

Case contributed by Dr Roberto Schubert

Presentation

Dull pelvic pain.

Patient Data

Age: 70
Gender: Female
Modality: CT

Sharply delineated, round mass above the bladder with peripheral enhancement and fat inclusions.

Modality: MRI

The lesion is predominantly hypointense on T2. There are hyperintense Inclusions on T1 GRE, which show a signal loss on the opposed-phase images.

Case Discussion

There are several types of degeneration, that can occur in a leiomyoma. Besides calcification, there are hyaline (>60%), cystic (approximately 4%), myxoid, red (haemorrhagic) and fatty degeneration, the last two being the least frequent 1,2.

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Case Information

rID: 18419
Case created: 6th Jul 2012
Last edited: 4th Nov 2015
System: Gynaecology
Inclusion in quiz mode: Included

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