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Pelvic MRI of endometrial stromal sarcoma: (a, b, c) sagittal (a) and axial (b) T2WI showing a large intrauterine tumor with heterogeneous intermediate T2 signal with invasion of junctional zone (arrow); axial T1 Fat-Sat WI (c) showing high signal intensity intratumoral hemorrhage (arrow).

Pelvic MRI of endometrial stromal sarcoma: (a, b, c) sagittal (a) and axial (b) T2WI showing a large intrauterine tumor with heterogeneous intermediate T2 signal with invasion of junctional zone (arrow); axial T1 Fat-Sat WI (c) showing high signal intensity intratumoral hemorrhage (arrow).

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Aims: To make clear distinction between two different radiological types of uterine sarcomas in a process for identifying MRI signs predictive of histopathology. To evaluate difficulty in radiological differential diagnosis considering on the one hand endometrial stromal sarcomas (ESS) and mixed malignant mullerian tumors (MMMT) versus endometrial...

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Purpose. To make clear distinction between two radiological types of uterine sarcomas. Methods. 50 preoperative MRI were analyzed retrospectively, blinded to histopathology: 11 endometrial stromal sarcomas (ESS), 19 leiomyosarcomas (LMS), 18 carcinosarcomas/malignant mixed Mullerian tumors (MMMT), and 2 smooth muscle tumors of uncertain malignant...