Amber Samuel, M. D. , Fiona M. Fennessy, M. D. , Ph. D. , Clare M. C

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Presentation transcript:

Avoiding treatment of leiomyosarcomas: the role of magnetic resonance in focused ultrasound surgery Amber Samuel, M.D., Fiona M. Fennessy, M.D., Ph.D., Clare M.C. Tempany, M.D., Elizabeth A. Stewart, M.D. Fertility and Sterility Volume 90, Issue 3, Pages 850.e9-850.e12 (September 2008) DOI: 10.1016/j.fertnstert.2007.08.019 Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Several facets of the magnetic resonance image raised suspicion that the uterine mass was not a typical leiomyoma and was highly suspicious for a sarcoma. All images were performed with the patient in the prone position. Diffuse heterogeneity as well as blood-fluid levels were seen (arrows) in both the sagittal (A) and axial (B) T2-weighted images. The fluid was of high signal intensity (white) on the axial T1 fat-saturated MR image (C), consistent with blood (arrow). There also was diffuse, patchy, heterogeneous enhancement on the coronal T1-weighted image (D) after administration of the intravenous contrast agent gadolinium, consistent with the pattern of necrosis seen with sarcomas. Fertility and Sterility 2008 90, 850.e9-850.e12DOI: (10.1016/j.fertnstert.2007.08.019) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions