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Parasitic Leiomyoma
Akram M. Shaaban, MBBCh; Marcia C. Javitt, MD, FACR; Shephard S. Kosut, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Parasitic fibroid
              • Broad ligament leiomyoma
            • Definitions

              • Leiomyoma that becomes adherent to surrounding structures, develops auxiliary blood supply, and loses its original attachment to uterus, thus becoming parasitic

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • PET/CT

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Deshmukh SP et al: Role of MR imaging of uterine leiomyomas before and after embolization. Radiographics. 32(6):E251-81, 2012
                                            2. Shanbhogue AK et al: Uncommon primary pelvic retroperitoneal masses in adults: a pattern-based imaging approach. Radiographics. 32(3):795-817, 2012
                                            3. Cucinella G et al: Parasitic myomas after laparoscopic surgery: an emerging complication in the use of morcellator? Description of four cases. Fertil Steril. 96(2):e90-6, 2011
                                            4. Hwang JH et al: An unusual presentation of a severely calcified parasitic leiomyoma in a postmenopausal woman. JSLS. 14(2):299-302, 2010
                                            5. Fasih N et al: Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics. 28(7):1931-48, 2008
                                            6. Cohen DT et al: Uterine smooth-muscle tumors with unusual growth patterns: imaging with pathologic correlation. AJR Am J Roentgenol. 188(1):246-55, 2007
                                            7. Muffly T et al: Massive leiomyoma of the broad ligament. Obstet Gynecol. 109(2 Pt2):563-5, 2007
                                            8. Pelage JP et al: Uterine fibroid vascularization and clinical relevance to uterine fibroid embolization. Radiographics. 25 Suppl 1:S99-117, 2005
                                            9. Murase E et al: Uterine leiomyomas: histopathologic features, MR imaging findings, differential diagnosis, and treatment. Radiographics. 19(5):1179-97, 1999
                                            10. Ueda H et al: Unusual appearances of uterine leiomyomas: MR imaging findings and their histopathologic backgrounds. Radiographics. 19 Spec No:S131-45, 1999
                                            11. Yeh HC et al: Parasitic and pedunculated leiomyomas: ultrasonographic features. J Ultrasound Med. 18(11):789-94, 1999
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Parasitic fibroid
                                                        • Broad ligament leiomyoma
                                                      • Definitions

                                                        • Leiomyoma that becomes adherent to surrounding structures, develops auxiliary blood supply, and loses its original attachment to uterus, thus becoming parasitic

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              • PET/CT

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Deshmukh SP et al: Role of MR imaging of uterine leiomyomas before and after embolization. Radiographics. 32(6):E251-81, 2012
                                                                                      2. Shanbhogue AK et al: Uncommon primary pelvic retroperitoneal masses in adults: a pattern-based imaging approach. Radiographics. 32(3):795-817, 2012
                                                                                      3. Cucinella G et al: Parasitic myomas after laparoscopic surgery: an emerging complication in the use of morcellator? Description of four cases. Fertil Steril. 96(2):e90-6, 2011
                                                                                      4. Hwang JH et al: An unusual presentation of a severely calcified parasitic leiomyoma in a postmenopausal woman. JSLS. 14(2):299-302, 2010
                                                                                      5. Fasih N et al: Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics. 28(7):1931-48, 2008
                                                                                      6. Cohen DT et al: Uterine smooth-muscle tumors with unusual growth patterns: imaging with pathologic correlation. AJR Am J Roentgenol. 188(1):246-55, 2007
                                                                                      7. Muffly T et al: Massive leiomyoma of the broad ligament. Obstet Gynecol. 109(2 Pt2):563-5, 2007
                                                                                      8. Pelage JP et al: Uterine fibroid vascularization and clinical relevance to uterine fibroid embolization. Radiographics. 25 Suppl 1:S99-117, 2005
                                                                                      9. Murase E et al: Uterine leiomyomas: histopathologic features, MR imaging findings, differential diagnosis, and treatment. Radiographics. 19(5):1179-97, 1999
                                                                                      10. Ueda H et al: Unusual appearances of uterine leiomyomas: MR imaging findings and their histopathologic backgrounds. Radiographics. 19 Spec No:S131-45, 1999
                                                                                      11. Yeh HC et al: Parasitic and pedunculated leiomyomas: ultrasonographic features. J Ultrasound Med. 18(11):789-94, 1999