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Cotyledonoid Leiomyoma Clinical Characteristics, Imaging Features, and Review of the Literature
Author(s) -
Buonomo Francesca,
Bussolaro Sofia,
Giorda Giorgio,
Romano Federico,
Biffi Stefania,
Ricci Giuseppe
Publication year - 2021
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.1002/jum.15510
Subject(s) - medicine , vascularity , leiomyoma , myometrium , uterus , radiology , ultrasound , uterine leiomyoma
Cotyledonoid leiomyoma of the uterus is a rare variant of benign uterine leiomyoma. It has a favorable attitude, despite some ultrasound presentations. A bulky uterus with a heterogeneous mass with irregular margins, high vascularity, and infiltration of the myometrium can induce the suspicion of a malignant mesenchymal tumor and lead to a radical surgical treatment. If present, some imaging features may suggest this rare type of leiomyoma, thus avoiding extensive surgery, especially in young nulliparous women. We report 13 cases of cotyledonoid leiomyoma with clinical characteristics, imaging features, and a literature review.