The Differential Diagnosis of Leiomyomas

108The Differential Diagnosis of Leiomyomas

Leiomyomas are sometimes difficult to differentiate from ovarian lesions (see Chapter 112), or other uterine abnormalities such as leiomyosarcomas or adenomyomas.

Leiomyoma versus Adenomyoma

Differentiation of leiomyoma and adenomyoma (Table 108.1) is important as leiomyomas can be treated with a myomectomy, but adenomyomas require a hysterectomy. Submucosal leiomyomas in particular may be difficult to differentiate from adenomyoma.

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Jan 10, 2016 | Posted by in MAGNETIC RESONANCE IMAGING | Comments Off on The Differential Diagnosis of Leiomyomas

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Table 108.1 Leiomyoma versus Adenomyoma4,5
Leiomyoma Adenomyoma
Poorly defined border – +
Minimal mass effect relative to size of lesion – +