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RADIOLOGY: ABDOMEN: Case# 32821: MYXOID LEIOMYOSARCOMA-INTRAABDOMINAL. 78 year old female with history of resection of "benign" tumor of the uterus. She also has a history of chronic ascites. A large amount of ascites is present. Multiple diffuse intraperitoneal soft tissue masses are found within the abdomen and pelvis. These masses are heterogeneous in attenuation. One of these lesions abuts and deforms the right lobe of the liver. Leiomyosarcomas may arise from any source of smooth muscle, such as uterus, bowel, or the wall of a blood vessel. Hallmarks of leiomyosarcomas are their large size and their tendency to ulcerate and undergo central necrosis.

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Peter Anderson
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