Bilateral ovarian leiomyomas: CT and MRI features

Abdom Imaging. 2005 Jan-Feb;30(1):117-9. doi: 10.1007/s00261-004-0202-7.

Abstract

We recently treated a 21-year-old woman with leiomyomas arising from the bilateral ovaries, a very rare condition. On magnetic resonance imaging, more than half of the left adnexal mass showed low signal intensity on T2-weighted images and good enhancement by gadolinium-DTPA, and the remaining part showed high signal intensity on T2-weighted images, so the lesions initially were diagnosed as ovarian fibromas or as thecomas with a certain degree of degeneration. Pathologic examination of the excised tumors proved that they were bilateral ovarian leiomyomas; in addition, the tumor from the left side showed hemorrhagic and myxoid changes with torsion of 180 degrees.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Leiomyoma / diagnosis*
  • Leiomyoma / diagnostic imaging
  • Leiomyoma / pathology
  • Magnetic Resonance Imaging*
  • Ovarian Neoplasms / diagnosis*
  • Ovarian Neoplasms / diagnostic imaging
  • Ovarian Neoplasms / pathology
  • Tomography, X-Ray Computed*