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SCOTTSDALE, ARIZ. -- Ultrasonography and color flow Doppler imaging can tip off physicians that a suspected leiomyoma may in fact be a leiomyosarcoma, Dr. Caterina Exacoustos said at an international congress on uterine fibroids.
She and her associates at the University of Rome performed ultrasonography and color flow Doppler imaging on uterine lesions in 257 patients undergoing myomectomy or hysterectomy. They compared histologic findings with the imaging findings for 225 leiomyomas, 21 cellular leiomyomas, 3 smooth muscle tumors of uncertain malignant potential, and 8 leiomyosarcomas, including findings on tumor size, localization, echostructure, presence of degenerative changes, and vascularization.
All eight leiomyosarcomas were single tumors, not part of multiple tumors, and most had a diameter of at ...