RADIOLOGY MODALITESAPPROACH IN ANGIOLEIOMYOMA UTERI.A CASE REPORT

Abstract

Introduction. Angioleiomyoma uteri, also known as vascular leiomyoma, is a rare benign tumor that arises from uterine blood vessels and smooth muscle cells. Aim of the study was to present the radiological modalities to diagnose the rare disease, the uterine angioleiomyoma. Material and Methods. A case of 25 year old female was admitted to hospital with diffuse abdominal pain and abnormal uterine bleeding. The patient was examined by an ultrasound (US) Siemens, computed tomography (CT) GE 64 slice and magnetic resonance (MR) Siemens Somatom Essenca 1.5 with T1-weighted, T2-weighted, T1 C+ (Gd). Results. A well-defined mass was noticed by US and an additional internal vascularity by doppler. On contrast enhanced CT scan in the arterial and venous phase, the giant mass showed multiple vascular branches. At CT scan the giant mass was found inseparable from uterine corpus and uterine fundus. Due to inconclusiveness of the results, MR was additionally performed, showing well-defined mass, which was incapsulated and accompanied with internal vascular flow voids. Conclusion. Radiology modalities approach is necessary in detection of uterine angioleiomyoma. As it may recur or it may transform into a malignant tumor, although in rare cases, a regular follow-up is obligatory.