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American Journal of Roentgenology, Vol 153, Issue 2, 317-319
Copyright © 1989 by American Roentgen Ray Society

Articles

Mixed mullerian sarcoma of the uterus: MR imaging findings

LG Shapeero and H Hricak

Department of Radiology, University of California School of Medicine, San Francisco 94143-0628.

MR images of seven patients with histologically documented mixed mullerian sarcoma were analyzed retrospectively to determine whether the scans showed findings that could suggest the diagnosis. Spin-echo T1- and T2-weighted sagittal and transverse images from either a 0.35- or a 1.5-T unit were available for each patient. MR image analysis included evaluation of tumor signal intensity on T1 and T2 images; tumor location, size, and extent; depth of myometrial invasion; and presence of pelvic metastases. In all seven patients, MR images showed a large endometrial mass deeply invading the myometrium or beyond. In addition, MR images showed intraperitoneal (two patients) and ovarian (one patient) metastases. Although the massiveness of the tumors on initial presentation may suggest the diagnosis of mixed mullerian sarcoma, the MR imaging findings are nonspecific and mimic invasive endometrial carcinoma.
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