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Vaginal Leiomyoma
Akram M. Shaaban, MBBCh; Olga Hatsiopoulou, MD, FRCR; Evis Sala, MD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Vaginal fibroid
            • Definitions

              • Benign mesenchymal, monoclonal smooth muscle tumor of vagina

            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

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Surabhi VR et al: Magnetic resonance imaging of female urethral and periurethral disorders. Radiol Clin North Am. 51(6):941-53, 2013
                                          2. Boskovic V et al: Removal of a vaginal leiomyoma presenting as tumor previa allowing vaginal birth. Eur J Gynaecol Oncol. 33(3):326-7, 2012
                                          3. Dane C et al: Vaginal leiomyoma in pregnancy presenting as a prolapsed vaginal mass. Hong Kong Med J. 18(6):533-5, 2012
                                          4. Hubert KC et al: Clinical and magnetic resonance imaging characteristics of vaginal and paraurethral leiomyomas: can they be diagnosed before surgery? BJU Int. 105(12):1686-8, 2010
                                          5. Scialpi M et al: Magnetic resonance imaging features of myxoid leiomyoma of the vagina: A case report. Indian J Radiol Imaging. 19(3):238-41, 2009
                                          6. Fasih N et al: Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics. 28(7):1931-48, 2008
                                          7. Imai A et al: Leiomyoma and rhabdomyoma of the vagina . Vaginal myoma. J Obstet Gynaecol. 28(6):563-6, 2008
                                          8. Nishizawa S et al: Incidence and characteristics of uterine leiomyomas with FDG uptake. Ann Nucl Med. 22(9):803-10, 2008
                                          9. Theodoridis TD et al: Vaginal wall fibroid. Arch Gynecol Obstet. 278(3):281-2, 2008
                                          10. Sherer DM et al: Sonographic and magnetic resonance imaging findings of an isolated vaginal leiomyoma. J Ultrasound Med. 26(10):1453-6, 2007
                                          11. Tsai MJ et al: Perineal ultrasonography in diagnosing anterior vaginal leiomyoma resembling a cystocele. Ultrasound Obstet Gynecol. 30(7):1013-4, 2007
                                          12. Bapuraj JR et al: Preoperative embolization of a large vaginal leiomyoma: report of a case and review of the literature. Australas Radiol. 50(2):179-82, 2006
                                          13. Bukhari AS et al: Vaginal fibroid--a case report. J Obstet Gynaecol. 25(1):83-4, 2005
                                          14. Gowri R et al: Leiomyoma of the vagina: an unusual presentation. J Obstet Gynaecol Res. 29(6):395-8, 2003
                                          15. Shimada K et al: MR imaging of an atypical vaginal leiomyoma. AJR Am J Roentgenol. 178(3):752-4, 2002
                                          16. Shadbolt CL et al: MRI of vaginal leiomyomas. J Comput Assist Tomogr. 25(3):355-7, 2001
                                          17. Gorlin RJ et al: Multiple schwannomas, multiple nevi, and multiple vaginal leiomyomas: a new dominant syndrome. Am J Med Genet. 78(1):76-81, 1998
                                          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

                                                      • Vaginal fibroid
                                                    • Definitions

                                                      • Benign mesenchymal, monoclonal smooth muscle tumor of vagina

                                                    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

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Surabhi VR et al: Magnetic resonance imaging of female urethral and periurethral disorders. Radiol Clin North Am. 51(6):941-53, 2013
                                                                                  2. Boskovic V et al: Removal of a vaginal leiomyoma presenting as tumor previa allowing vaginal birth. Eur J Gynaecol Oncol. 33(3):326-7, 2012
                                                                                  3. Dane C et al: Vaginal leiomyoma in pregnancy presenting as a prolapsed vaginal mass. Hong Kong Med J. 18(6):533-5, 2012
                                                                                  4. Hubert KC et al: Clinical and magnetic resonance imaging characteristics of vaginal and paraurethral leiomyomas: can they be diagnosed before surgery? BJU Int. 105(12):1686-8, 2010
                                                                                  5. Scialpi M et al: Magnetic resonance imaging features of myxoid leiomyoma of the vagina: A case report. Indian J Radiol Imaging. 19(3):238-41, 2009
                                                                                  6. Fasih N et al: Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics. 28(7):1931-48, 2008
                                                                                  7. Imai A et al: Leiomyoma and rhabdomyoma of the vagina . Vaginal myoma. J Obstet Gynaecol. 28(6):563-6, 2008
                                                                                  8. Nishizawa S et al: Incidence and characteristics of uterine leiomyomas with FDG uptake. Ann Nucl Med. 22(9):803-10, 2008
                                                                                  9. Theodoridis TD et al: Vaginal wall fibroid. Arch Gynecol Obstet. 278(3):281-2, 2008
                                                                                  10. Sherer DM et al: Sonographic and magnetic resonance imaging findings of an isolated vaginal leiomyoma. J Ultrasound Med. 26(10):1453-6, 2007
                                                                                  11. Tsai MJ et al: Perineal ultrasonography in diagnosing anterior vaginal leiomyoma resembling a cystocele. Ultrasound Obstet Gynecol. 30(7):1013-4, 2007
                                                                                  12. Bapuraj JR et al: Preoperative embolization of a large vaginal leiomyoma: report of a case and review of the literature. Australas Radiol. 50(2):179-82, 2006
                                                                                  13. Bukhari AS et al: Vaginal fibroid--a case report. J Obstet Gynaecol. 25(1):83-4, 2005
                                                                                  14. Gowri R et al: Leiomyoma of the vagina: an unusual presentation. J Obstet Gynaecol Res. 29(6):395-8, 2003
                                                                                  15. Shimada K et al: MR imaging of an atypical vaginal leiomyoma. AJR Am J Roentgenol. 178(3):752-4, 2002
                                                                                  16. Shadbolt CL et al: MRI of vaginal leiomyomas. J Comput Assist Tomogr. 25(3):355-7, 2001
                                                                                  17. Gorlin RJ et al: Multiple schwannomas, multiple nevi, and multiple vaginal leiomyomas: a new dominant syndrome. Am J Med Genet. 78(1):76-81, 1998