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Sonographic, CT, and MRI Findings of Endometrial Stromal Sarcoma Located in the Myometrium and Associated with Peritoneal Inclusion Cyst

Ugur Toprak1, Esref Pasaoglu, M. Alp Karademir and Mutlu Gülbay

1 All authors: Department of Radiology, Ankara Numune Education and Research Hospital, Sihhiye, Ankara TR-06100, Turkey.



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  		Fig. 1A. —Endometrial stromal sarcoma and associated peritoneal inclusion cyst in 24-year-old woman. Axial transabdominal pelvic sonogram shows complex myometrial mass with cystic and solid components.

 


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  		Fig. 1B. —Endometrial stromal sarcoma and associated peritoneal inclusion cyst in 24-year-old woman. Axial transabdominal pelvic sonogram shows multiple, small, centrally hyperechoic cystic nodules (solid arrowheads). Note also left ovarian cyst (open arrowhead) and peritoneal inclusion cyst (arrows).

 


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  		Fig. 1C. —Endometrial stromal sarcoma and associated peritoneal inclusion cyst in 24-year-old woman. Axial contrast-enhanced CT scan shows heterogeneous enhancement of solid components of myometrial nodules (solid arrowheads) and left adnexal peritoneal inclusion cyst (open arrowheads).

 


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  		Fig. 1D. —Endometrial stromal sarcoma and associated peritoneal inclusion cyst in 24-year-old woman. Coronal T1-weighted image obtained after gadolinium injection shows heterogeneous enhancement of left cornual mass (solid arrowheads) and other myometrial nodules (white arrows). Note one nodule compresses endometrium (black arrow) but is completely myometrial in origin. Diffuse thickening is also present at right fallopian wall, which shows continuity with broad and round ligaments and reaches peritoneum (open arrowheads).

 


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  		Fig. 1E. —Endometrial stromal sarcoma and associated peritoneal inclusion cyst in 24-year-old woman. Coronal T2-weighted image obtained at same level as D shows increased signal intensity of mass (solid arrowheads) and nodules (white arrows) relative to that of myometrium. Endometrial compression (black arrow) and right fallopian wall invasion (open arrowheads), showing continuity with broad and round ligaments, are also marked.

 


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  		Fig. 1F. —Endometrial stromal sarcoma and associated peritoneal inclusion cyst in 24-year-old woman. Axial T2-weighted image shows signal intensity of peritoneal inclusion cyst (solid arrowhead) to be brighter than that of ovarian cysts. Note left ovarian simple cyst and right ovarian follicle (open arrowheads).

 

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