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Magnetic resonance imaging features of uterine sarcoma and mimickers

机译:子宫肉瘤和模仿者的磁共振成像特征

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摘要

Uterine myometrial tumors are predominantly benign conditions that affect one-third of women and represent the main indication for hysterectomy. Preoperative imaging is of utmost importance for characterization and for precise mapping of myometrial tumors to best guide therapeutic strategy. New minimally invasive therapeutic strategies including morcellation, myolysis, uterine artery embolization and image-guided radiofrequency or focused ultrasound ablation have been developed for the treatment of uterine leiomyoma. However, preoperative differentiation between atypical leiomyomas and leiomyosarcomas is critical on imaging as uterine sarcoma requires a specific surgical technique to prevent dissemination. A single, rapidly growing uterine tumor, associated with endometrial thickening and ascites, in post-menopausal women is suspicious of uterine endometrial stromal sarcoma and carcinosarcoma. Suggestive magnetic resonance imaging features have been described, but overlap in imaging appearance between uterine leiomyosarcomas and cellular leiomyomas makes it challenging to ascertain the diagnosis. This review aims to illustrate the imaging features of uterine sarcomas and potential mimickers to make the reader more familiar with this serious condition which needs special consideration.
机译:子宫肌瘤瘤主要是影响三分之一的女性的良性条件,代表子宫切除术的主要迹象。术前成像至关重要,表征和肌瘤瘤的精确映射到最佳指导治疗策略。为治疗子宫平滑肌瘤,已经开发出新的微创治疗策略,包括毛细血管,析核,子宫动脉栓塞和图像引导射频或聚焦超声烧蚀。然而,由于子宫肉瘤需要特定的手术技术,以防止传播,但非典型平霉系统和平滑肌瘤之间的术前分化对成像至关重要。在绝经后妇女后期血型增稠和腹水相关的单一,快速生长的子宫肿瘤是怀疑子宫子宫内膜中间肉瘤和癌症瘤。已经描述了暗示磁共振成像特征,但在子宫平滑肌肉瘤和细胞平滑肌瘤之间的成像外观中的重叠使其成为确定诊断的挑战。该审查旨在说明子宫肉瘤的成像特征和潜在的模仿者使读者更熟悉这种需要特殊考虑的严重状况。

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