Question 2358
{"accessible":false,"alternatives":[{"id":11634,"text":"interpretation of diffusion-weighted imaging (DWI) in the presence of intralesional hemorrhage should occur with caution"},{"id":11635,"text":"prognosis is poor, with 5-year survival of 17-55% even when discovered at an early stage"},{"id":11636,"text":"suggestive features include: presence of enlarged lymph nodes or peritoneal deposits, heterogeneous T2 signal, low ADC, intralesional hemorrhage"},{"id":11637,"text":"the vast majority of uterine leiomyosarcomas arise from malignant degeneration of an existing uterine leiomyoma"},{"id":11638,"text":"uterine leiomyosarcomas are very rare"}],"archived":false,"correctAlternativeId":11637,"explanation":"\u003cp\u003eThe vast majority of uterine leiomyosarcomas arise de novo and not from pre-existing uterine leiomyomas.\u0026nbsp;\u003c/p\u003e","id":2358,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2360","nextQuestionPath":"/articles/uterine-leiomyoma/questions/2357","relatedArticles":[{"id":13012,"title":"Uterine leiomyosarcoma","link":"/articles/uterine-leiomyosarcoma?lang=us"}],"alsoUsedIn":[{"id":1356,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1356","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1356"},{"id":1200,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1200","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1200"},{"id":248,"kind":"LiveSchedule","title":"248","link":"https://radiopaedia.org/admin/live_schedules/248"},{"id":170,"kind":"LiveSchedule","title":"170","link":"https://radiopaedia.org/admin/live_schedules/170"},{"id":1309,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1309","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1309"},{"id":1309,"kind":"Course","title":"Obstetrics \u0026 Gynaecology Lectures - page 1309","link":"https://radiopaedia.org/courses/obgyn-lectures/pages/1309"}],"stem":"\u003cp\u003eRegarding uterine leiomyosarcomas, which is \u003cstrong\u003eNOT\u003c/strong\u003e true:\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2358"}],"attemptsPercentages":[{"alternativeId":"11638","percentage":6},{"alternativeId":"11637","percentage":74},{"alternativeId":"11635","percentage":11},{"alternativeId":"11636","percentage":2},{"alternativeId":"11634","percentage":7}],"promptToLogin":false,"questionManager":false,"articleId":"uterine-leiomyoma"}