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Fig. 5. —40-year-old woman with low-grade endometrial stromal sarcoma. Contrast-enhanced CT scan shows relatively well-defined low-density myometrial mass (arrows) that cannot be differentiated from intramural myoma on this scan. Usual preoperative diagnosis of low-grade endometrial stromal sarcoma is leiomyoma with unusual degree of bleeding. On CT scans, some cases of low-grade endometrial stromal sarcoma cannot be clearly differentiated from myoma. However, on MRI, endometrial stromal sarcoma usually has infiltrative margin and shows high-signal intensity on T2-weighted images. B = bladder.





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