Korean J Obstet Gynecol.
2006 Nov;49(11):2432-2437.
Vaginal leiomyoma mimicking a malignant neoplasm on MR imaging
- Affiliations
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- 1Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
- 2Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Gyeonggi, Korea. parksang@ncc.re.kr
- 3Center for Specific Organs Cancer, Urologic Oncology Clicnic, Research Institute and Hospital, National Cancer Center, Goyang, Gyeonggi, Korea.
Abstract
- We report a case of vaginal leiomyoma in a female patient, which presented with a palpable paraurethral mass with several urinary symptoms such as frequency, urgency and dysuria. The physical examination revealed a localized, mobile, nontender mass in the anterior vaginal wall. Pelvic magnetic resonance (MR) imaging showed a malignant-looking vaginal mass co-existing with multiple uterine leiomyomas. The diagnosis was made through transvaginal ultrasound-guided needle biopsy. The surgical excision was accomplished without any complication. Despite the rarity, a few cases of malignant lesion presented with paraurethral mass were previously reported. The surgical excision and pathological confirmation of the benignancy is necessary.
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