Value of magnetic resonance imaging in predicting efficacy of GnRH analogue treatment for uterine leiomyoma

INTRODUCTION: Giant uterine leimyofibromas delivered through the uterine cervix are rare. MATERIALS AND METHODS: We report 3 observations in order to describe our diagnostic and therapeutic approach. RESULTS: Three patients aged 40, 49 and 41 years were seen for intense pelvic pain associated with metrorrhagia and a feeling of pelvic heaviness. The average delay of consultation was three years. They were all multiparous. The gynecological examination revealed a firm tissue mass with a smooth and regular surface of eight cm on average, occupying the vaginal cavity while respecting the vaginal walls. Speculum examination was not possible because of the size of the mass which was flush with the lower third of the vagina. Magnetic resonance imaging concluded to a myoma delivered through the cervix in all patients. A total hysterectomy was performed. Histology of the total hysterectomy specimen concluded a uterine leiomyoma of the uterus. CONCLUSION: These giant uterine leiomyomas are rare. Magnetic resonance imaging describes them well. The treatment is most often a total hysterectomy in women who do not wish to have pregnant.

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Transient shrinkage of a uterine leiomyosarcoma treated with GnRH agonist for a presumed uterine leiomyoma: Comparison of magnetic resonance imaging finding before and during GnRH agonist treatment

Oncology Reports ◽

10.3892/or.8.6.1255 ◽

2001 ◽

Author(s):

Naoki Kawamura ◽

Naoko Iwanaga ◽

Sachiko Hada ◽

Kyoko Maeda ◽

Toshiyuki Sumi ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Gnrh Agonist ◽

Uterine Leiomyoma ◽

Imaging Finding ◽

Magnetic Resonance Imaging Finding ◽

Uterine Leiomyosarcoma ◽

Resonance Imaging

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Functional magnetic resonance imaging for clinical evaluation of uterine contractility

Einstein (São Paulo) ◽

10.1590/s1679-45082018md3863 ◽

2018 ◽

Vol 16 (1) ◽

Author(s):

Vinicius Adami Vayego Fornazari ◽

Stela Adami Vayego ◽

Denis Szejnfeld ◽

Jacob Szejnfeld ◽

Suzan Menasce Goldman

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Uterine Leiomyoma ◽

Polycystic Ovarian Syndrome ◽

Direct Action ◽

Cine Mri ◽

Resonance Imaging ◽

Uterine Contractility ◽

Ultrafast Sequences ◽

Ovarian Syndrome

ABSTRACT Uterine contractility out of the gestational phase, during the menstrual cycle and the habitual functional variations of the organ, this is one of the responsible mechanisms for reproduction and fertility, due to its direct action in the mechanisms conducting the spermatozoa to the ovule and in the decidual implantation. Pathologies such as uterine leiomyoma, endometriosis, adenomyosis, polycystic ovarian syndrome, as well as the use of intrauterine devices and oral contraceptives, may alter a functionality of uterine contractility. Thus, magnetic resonance imaging with ultrafast sequences provides a dynamic evaluation (cine-MRI) and thus the correlation of uterine contractility quality in patients with current infertility or pathologies.

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