Leiomyosarcoma Flashcards
what is the origin of Leiomyosarcoma
Smooth muscle
what percentage of tumors are Leiomyosarcoma
3%
What is a common site of rmets from Leiomyosarcoma to devlop
lung
what are risk factors of Leiomyosarcoma
Nulliparity 50 years and older Obesity Pelvic radiation Tamoxifen exposure
where are leiomyosarcoma usually located
Intramural
what is the gross appearance
Fleshy
Hemorrhagic/necrotic
Infiltrative borders
what are symptoms of leiomyosarcoma
Vaginal bleeding
Pelvis and/or abdominal pain
Rapidly increasing size
what are treatment options
Total hysterectomy
Peritoneal washings
Nodule sampling
Radiotherapy
is leiomyosarcoma heterogenous or homogenous
Hetrogenous
leiomyosarcoma presents with increased or decreased acoustic enhancement
Acoustic enhancemen
is there increased or decreased intratumoral flow
Increased
why are there anechoic or complex areas
due to tumor liquification
Leiomyosarcoma sonographic technique
Uterine echo texture
Adnexal masses
Free fluid
Para-aortic/caval area for adenopathy
what are offer imaging options
MRI/CT
Tumor numbers in uterus
Exact location
FDG-PET (Fluorodeoxyglucose-positron emission tomography) and MRI with gadolinium-based contrast may help with DD
what are DD for leiomyosarcoma
Other uterine sarcoma Endometrial adenocarcinoma Adenomyomas Gastrointestinal carcinoma Bladder carcinoma
