Endometrial stromal sarcoma mimicking submucosal myoma protruding to the vagina: MRI findings

Jerry Chin Wei Chien, Shu Chiang Hsieh, R. C. Lee, Cheng-Yu Chen, Chien-Jui Cheng, Wing P. Chan

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A 46-year-old woman complained of persistent abnormal vaginal bleeding over ten days. Her intrauterine device had been removed two years before. Soon after, she suffered from menorrhagia and metrorrhagia. An incidental finding of severe anemia was also noted. In this admission, our initial T2-weighted magnetic resonance imaging (MRI) revealed a well-demarcated mass predominantly in the uterine cavity. The mass was depicted by an isointense signal relative to the myometrium on T1-weighted images, high signal intensity on T2-weighted images, and slightly heterogeneous enhancement on post-contrast images. The patient refused surgery. After two years, follow-up MRI showed a pedunculated mass protruding into the upper third of the vagina with a stalk connecting to the posterior wall of the uterine cavity, simulating submucosal myoma. Histological diagnosis was compatible with low-grade endometrial stromal sarcoma.

Original languageEnglish
Pages (from-to)657-661
Number of pages5
JournalEuropean Journal of Gynaecological Oncology
Volume26
Issue number6
Publication statusPublished - 2005

Fingerprint

Endometrial Stromal Sarcoma
Myoma
Vagina
Endometrial Stromal Tumors
Magnetic Resonance Imaging
Menorrhagia
Metrorrhagia
Intrauterine Devices
Incidental Findings
Uterine Hemorrhage
Myometrium
Anemia

Keywords

  • Endometrium
  • Magnetic resonance imaging (MRI)
  • Sarcoma
  • Tumor
  • Uterus
  • Vagina

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Oncology

Cite this

Endometrial stromal sarcoma mimicking submucosal myoma protruding to the vagina : MRI findings. / Chien, Jerry Chin Wei; Hsieh, Shu Chiang; Lee, R. C.; Chen, Cheng-Yu; Cheng, Chien-Jui; Chan, Wing P.

In: European Journal of Gynaecological Oncology, Vol. 26, No. 6, 2005, p. 657-661.

Research output: Contribution to journalArticle

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AU - Cheng, Chien-Jui

AU - Chan, Wing P.

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