MRI diagnosis and differential diagnosis of bladder leiomyoma

VernacularTitle:膀胱平滑肌瘤的MRI诊断及鉴别诊断
Author: Cong HUANG ; Junde LUO ; Dongcun YUAN ; Dengwei GAN ; Kuan GENG
Keywords: bladder; leiomyoma; magnetic resonance imaging
From: Journal of Practical Radiology 2017;33(8):1230-1232
CountryChina
Language:Chinese
Abstract: Objective To investigate the value of MRI in the diagnosis and differential diagnosis of bladder leiomyoma.Methods Clinical data,pathological files and MRI findings of 8 patients with bladder leiomyoma that verified by pathologic were analyzed retrospectively.Results 4 cases of bladder leiomyoma were located in front bladder wall, 3 cases were in post bladder wall and 1 case in right bladder wall;meanwhile, 6 cases were endovesical(75.0%),1 case was intramural(12.5%) and another 1 case was extravesical(12.5%).All lesions displayed equal signals on T1WI, equal or slightly high signals on T2WI with mild and moderate enhancements;bladder wall adjacent to tumors and structures around were not invaded by tumors.6 cases of all displayed inhomogeneous signals on T2WI and with some patchy or stripe high signals in it, the signals turned to equal on a fat-saturated T1WI which was similar with muscle of pelvic wall.Conclusion MRI features of bladder leiomyoma showed certain characteristics.