Cotyledonoid dissecting leiomyoma of the uterus

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Cotyledonoid dissecting leiomyoma of the uterus Francisco Raga, M.D., Ph.D., Magda Sanz-Cortés, Ph.D., Eva Maria Casañ, M.D., Octavio Burgues, M.D., Fernando Bonilla-Musoles, M.D., Ph.D.  Fertility and Sterility  Volume 91, Issue 4, Pages 1269-1270 (April 2009) DOI: 10.1016/j.fertnstert.2008.08.131 Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Transvaginal three-dimensional ultrasound showed a 6-cm, irregular mass in the right lateral aspect of the uterus. Fertility and Sterility 2009 91, 1269-1270DOI: (10.1016/j.fertnstert.2008.08.131) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Pelvic MRI shows a heterogeneous mass lesion (arrow) in the right lateral aspect of the uterus. Fertility and Sterility 2009 91, 1269-1270DOI: (10.1016/j.fertnstert.2008.08.131) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 3 Gross appearance of the resected mass shows innumerable congested nodules. Fertility and Sterility 2009 91, 1269-1270DOI: (10.1016/j.fertnstert.2008.08.131) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 4 The tumor is composed of nodules of smooth muscle fascicles by hydropic connective tissue containing congested vessels (stain: hematoxylin and eosin; magnification: ×40). Fertility and Sterility 2009 91, 1269-1270DOI: (10.1016/j.fertnstert.2008.08.131) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions