Clinical and magnetic resonance imaging characteristics of vaginal and paraurethral leiomyomas: can they be diagnosed before surgery?

Abstract:

OBJECTIVE:To describe the clinical and magnetic resonance imaging (MRI) characteristics of vaginal and paraurethral leiomyomas. PATIENTS AND METHODS:All patients with pathologically confirmed paraurethral and vaginal wall leiomyomas from January 2006 to August 2007 were reviewed. Patients with no preoperative MRI of the pelvis were excluded. RESULTS:Five patients were identified; all had a firm, smooth, non-tender, non-fluctuant mass. MRI showed a well-circumscribed shape, a homogeneous signal that was hypointense or isointense to muscle on T1- and hyperintense or isointense to muscle on T2-weighted images, and uniform enhancement. In all cases, MRI excluded urethral diverticulae, and pathology showed leiomyoma, of which one had atypical features. CONCLUSION:Paraurethral and vaginal wall leiomyomas can be identified before surgery with a reasonable degree of certainty, based on their clinical and MRI characteristics.

journal_name

BJU Int

journal_title

BJU international

authors

Hubert KC,Remer EM,Rackley RR,Goldman HB

doi

10.1111/j.1464-410X.2009.09046.x

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

1686-8

issue

12

eissn

1464-4096

issn

1464-410X

pii

BJU9046

journal_volume

105

pub_type

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