The contribution of Magnetic Resonance Imaging in the differential diagnosis between leiomyoma typical, atypical and uterine sarcomas: Personal experience

Oscar Tamburrini, Claudia Smiraglio, Nicoletta Caputo, Nadia Mastroianni, Giuseppe Guarascio, Di Cello Annalisa, Michele Morelli, Fulvio ZulloI

Abstract


Purpose: Evaluate the role of Magnetic Resonance Imaging (MRI) in the differential diagnosis between degenerated leiomyomas, cellular leiomyomas and uterine sarcomas.

Materials and methods: From February 2015 to August 2015, 42 patients were enrolled, aged between 18 and 75 years, suffering from uterine “mass” waiting for surgery and considered at risk and/or uncertain clinical and laboratory investigations and imaging. These patients were submitted to MRI exam of the pelvis that was performed by morphological study, DWI sequences and dynamic sequences post-contrastographic.

Results: The analysis of MRI images of the 42 patients made possible to do a diagnosis of uterine sarcomas in 8 patients with the aid of sequences weighted in diffusion and dynamic, proving a sensitivity of 100% and a specificity of 88%.

Conclusions: Based on our experience, we may consider that by morphological study with DWI sequences weighted in diffusion and dynamic post-contrastographic sequences, the MRI is a working aid in the differential diagnosis between degenerated leiomyomas and uterine sarcomas.

 


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DOI: https://doi.org/10.5430/ijdi.v3n2p71

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International Journal of Diagnostic Imaging

ISSN 2331-5857 (Print)  ISSN 2331-5865 (Online)

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