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Korean Journal of Obstetrics & Gynecology 2006;49(11):2432-2437.
Published online November 1, 2006.
Vaginal leiomyoma mimicking a malignant neoplasm on MR imaging.
Dong Hoon Suh, So Yi Lim, Jinsoo Chung, Hyuck Jae Choi, Sun Lee, Sang Yoon Park
1Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
2Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Gyeonggi, Korea. parksang@ncc.re.kr
3Center for Specific Organs Cancer, Urologic Oncology Clicnic, Research Institute and Hospital, National Cancer Center, Goyang, Gyeonggi, Korea.
We report a case of vaginal leiomyoma in a female patient, which presented with a palpable paraurethral mass with several urinary symptoms such as frequency, urgency and dysuria. The physical examination revealed a localized, mobile, nontender mass in the anterior vaginal wall. Pelvic magnetic resonance (MR) imaging showed a malignant-looking vaginal mass co-existing with multiple uterine leiomyomas. The diagnosis was made through transvaginal ultrasound-guided needle biopsy. The surgical excision was accomplished without any complication. Despite the rarity, a few cases of malignant lesion presented with paraurethral mass were previously reported. The surgical excision and pathological confirmation of the benignancy is necessary.
Key Words: Vaginal leiomyoma, Paraurethral mass, MR imaging

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