Author/Authors :
Moradi, Behnaz Department of Radiology - Women’ Yas Hospital Complex - Tehran University of Medical Sciences, Iran , Izadi-Mood, Narges Department of Pathology - Women’ Yas Hospital Complex - Tehran University of Medical Sciences, Iran , Chavoshi, Mohammadreza Department of Radiology - Shariati Hospital - Tehran University of Medical Sciences, Iran , Shirali, Elham Department of Gynecologic Oncology - Women’ Yas Hospital Complex - Tehran University of Medical Sciences, Iran , Yarandi, Fariba Department of Gynecologic Oncology - Women’ Yas Hospital Complex - Tehran University of Medical Sciences, Iran , Sarmadi, Soheila Department of Gynecologic Oncology - Women’ Yas Hospital Complex - Tehran University of Medical Sciences, Iran , Kazemi, Mohammad Ali Department of Radiology - Amiralam Hospital - Tehran University of Medical Sciences, Iran
Abstract :
Uterine cavernous hemangioma is a rare vascular tumor that is more commonly reported as an acquired disease in pregnant
women. Rarity of the case impeded the radiologist to be able to find characteristic imaging findings to diagnose the disease before surgery. We report a 40-year-old premenopausal woman with cavernous hemangioma of the uterus that was misdiagnosed
as a low-grade sarcoma because of the non- typical imaging feature of this pathology that has not been reported before. The ultrasound exam of the patient only demonstrated global enlargement of the myometrium. Magnetic resonance imaging (MRI) showed
diffuse myometrial edema with multiple linear low signal strands, without endometrial involvement and with mild restriction in
diffusion-weighted imaging (DWI) that resulted in a lobulated border of uterine contour. MRI could be a helpful imaging modality
for proper diagnosis of uterine hemangioma before surgery.
