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MR Imaging of an Atypical Vaginal Leiomyoma

Ken Shimada1,2, Isamu Ohashi2, Hitoshi Shibuya2, Fumiko Tanabe3 and Takumi Akashi4

1 Department of Radiology, Toride Kyodo General Hospital, 2-1-1 Hongo, Toride-shi, 302-0022 Ibaraki, Japan.
2 Department of Radiology, School of Medicine, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, 113-0034 Tokyo, Japan.
3 Department of Obstetrics and Gynecology, School of Medicine, Tokyo Medical and Dental University, 113-0034 Tokyo, Japan.
4 Department of Pathology, School of Medicine, Tokyo Medical and Dental University, 113-0034 Tokyo, Japan.



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  		Fig. 1A. —37-year-old woman with vaginal leiomyoma. Sagittal T2-weighted MR image shows relatively homogenous tumor (arrow) with hyperintense signal in posterior wall of vagina.

 


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  		Fig. 1B. —37-year-old woman with vaginal leiomyoma. Dynamic enhanced MR images obtained after rapid injection of gadodiamide hydrate (Omniscan; Daiichi pharmaceutical, Tokyo, Japan) show marked contrast enhancement of tumor (arrow). B = 0 sec, C = 20 sec, D = 60 sec, E = 180 sec.

 


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  		Fig. 1C. —37-year-old woman with vaginal leiomyoma. Dynamic enhanced MR images obtained after rapid injection of gadodiamide hydrate (Omniscan; Daiichi pharmaceutical, Tokyo, Japan) show marked contrast enhancement of tumor (arrow). B = 0 sec, C = 20 sec, D = 60 sec, E = 180 sec.

 


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  		Fig. 1D. —37-year-old woman with vaginal leiomyoma. Dynamic enhanced MR images obtained after rapid injection of gadodiamide hydrate (Omniscan; Daiichi pharmaceutical, Tokyo, Japan) show marked contrast enhancement of tumor (arrow). B = 0 sec, C = 20 sec, D = 60 sec, E = 180 sec.

 


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  		Fig. 1E. —37-year-old woman with vaginal leiomyoma. Dynamic enhanced MR images obtained after rapid injection of gadodiamide hydrate (Omniscan; Daiichi pharmaceutical, Tokyo, Japan) show marked contrast enhancement of tumor (arrow). B = 0 sec, C = 20 sec, D = 60 sec, E = 180 sec.

 


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  		Fig. 1F. —37-year-old woman with vaginal leiomyoma. Photomicrograph of histopathologic specimen shows tumor composed of spindle-shaped cells. No prominent increase in cellularity is visible, but many capillary-sized vessels are present. (H and E, x267)

 

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