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Uterine Leiomyoma
Jeffrey Dee Olpin, MD; Maryam Rezvani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Fibroid, fibroleiomyoma, myoma
          • Definitions

            • Benign tumor of uterine smooth muscle cells

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Image Interpretation Pearls

                                          • Reporting Tips

                                            Selected References

                                            1. Jagannathan JP et al: Differentiating leiomyosarcoma from leiomyoma: in support of an MR imaging predictive scoring system. Abdom Radiol (NY). ePub, 2021
                                            2. Mathew RP et al: Uterine leiomyomas revisited with review of literature. Abdom Radiol (NY). ePub, 2021
                                            3. Munro MG: Practical aspects of the two FIGO systems for management of abnormal uterine bleeding in the reproductive years. Best Pract Res Clin Obstet Gynaecol. 40:3-22, 2017
                                            4. Parker WH: The utility of MRI for the surgical treatment of women with uterine fibroid tumors. Am J Obstet Gynecol. 206(1):31-6, 2012
                                            5. Madan R: The bridging vascular sign. Radiology. 238(1):371-2, 2006
                                            6. Day Baird D et al: High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol. 188(1):100-7, 2003
                                            7. Kido A et al: Diffusely enlarged uterus: evaluation with MR imaging. Radiographics. 23(6):1423-39, 2003
                                            8. Davis PC et al: Sonohysterographic findings of endometrial and subendometrial conditions. Radiographics. 22(4):803-16, 2002
                                            9. Murase E et al: Uterine leiomyomas: histopathologic features, MR imaging findings, differential diagnosis, and treatment. Radiographics. 19(5):1179-97, 1999
                                            10. Mayer DP et al: Ultrasonography and magnetic resonance imaging of uterine fibroids. Obstet Gynecol Clin North Am. 22(4):667-725, 1995
                                            11. Karasick S et al: Imaging of uterine leiomyomas. AJR Am J Roentgenol. 158(4):799-805, 1992
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Fibroid, fibroleiomyoma, myoma
                                                    • Definitions

                                                      • Benign tumor of uterine smooth muscle cells

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Image Interpretation Pearls

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Jagannathan JP et al: Differentiating leiomyosarcoma from leiomyoma: in support of an MR imaging predictive scoring system. Abdom Radiol (NY). ePub, 2021
                                                                                      2. Mathew RP et al: Uterine leiomyomas revisited with review of literature. Abdom Radiol (NY). ePub, 2021
                                                                                      3. Munro MG: Practical aspects of the two FIGO systems for management of abnormal uterine bleeding in the reproductive years. Best Pract Res Clin Obstet Gynaecol. 40:3-22, 2017
                                                                                      4. Parker WH: The utility of MRI for the surgical treatment of women with uterine fibroid tumors. Am J Obstet Gynecol. 206(1):31-6, 2012
                                                                                      5. Madan R: The bridging vascular sign. Radiology. 238(1):371-2, 2006
                                                                                      6. Day Baird D et al: High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol. 188(1):100-7, 2003
                                                                                      7. Kido A et al: Diffusely enlarged uterus: evaluation with MR imaging. Radiographics. 23(6):1423-39, 2003
                                                                                      8. Davis PC et al: Sonohysterographic findings of endometrial and subendometrial conditions. Radiographics. 22(4):803-16, 2002
                                                                                      9. Murase E et al: Uterine leiomyomas: histopathologic features, MR imaging findings, differential diagnosis, and treatment. Radiographics. 19(5):1179-97, 1999
                                                                                      10. Mayer DP et al: Ultrasonography and magnetic resonance imaging of uterine fibroids. Obstet Gynecol Clin North Am. 22(4):667-725, 1995
                                                                                      11. Karasick S et al: Imaging of uterine leiomyomas. AJR Am J Roentgenol. 158(4):799-805, 1992