{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:25:45Z","timestamp":1786976745070,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,11,21]],"date-time":"2016-11-21T00:00:00Z","timestamp":1479686400000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ultrason Med"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Primary uterine malignancy masquerading as a benign leiomyoma is a rare yet devastating condition if missed on ultrasound. Although there are no current guidelines to aide in early ultrasound identification of these high\u2010risk patients prior to histological analysis, certain imaging characteristics may heighten the suspicion of malignancy. Unfortunately, these atypical features are often not included in ultrasonographic reports resulting in delayed treatment and catastrophic consequences. We present a case of a uterine Ewing's sarcoma (\n                    <jats:styled-content style=\"fixed-case\">ES<\/jats:styled-content>\n                    ), which was diagnosed as a multi\u2010fibroid uterus on initial ultrasound. The lack of clinical suspicion resulted in a delay to definitive diagnosis and a sub\u2010optimal surgical resection. We compare this to a standard case of a multi\u2010fibroid uterus in order to highlight the differences in ultrasonographic appearance. This case delineates the importance of accurate identification and open reporting of suspicious features in order to assist ultrasonographers and specialist gynaecologists in creating a differential diagnosis of an otherwise common condition. A high index of suspicion of atypical lesions may lead to early life\u2010saving interventions and careful tissue control during surgery, resulting in improved patient outcomes.\n                  <\/jats:p>","DOI":"10.1002\/ajum.12030","type":"journal-article","created":{"date-parts":[[2016,11,21]],"date-time":"2016-11-21T00:05:21Z","timestamp":1479686721000},"page":"154-159","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Beware of a multi\u2010fibroid uterus: The importance of ultrasound reporting in the early detection of uterine sarcomas"],"prefix":"10.1002","volume":"19","author":[{"given":"Bernard","family":"Hannemann","sequence":"first","affiliation":[{"name":"Redcliffe Hospital Redcliffe Queensland Australia"},{"name":"Oceania University of Medicine Apia Samoa"},{"name":"The University of Queensland St Lucia Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"McKnoulty","sequence":"additional","affiliation":[{"name":"Redcliffe Hospital Redcliffe Queensland Australia"},{"name":"Griffith University Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alka","family":"Kothari","sequence":"additional","affiliation":[{"name":"Redcliffe Hospital Redcliffe Queensland Australia"},{"name":"The University of Queensland St Lucia Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19950101)75:1 <270::AID-CNCR2820751312>3.0.CO;2-D"},{"key":"e_1_2_9_3_1","first-page":"871821","article-title":"Conservative treatment of Ewing's sarcoma of the uterus in young women","volume":"2015","author":"Loverro G","year":"2015","journal-title":"Case Rep Obstet Gynecol"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2007.04.036"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2009.28.12.1715"},{"key":"e_1_2_9_6_1","unstructured":"MSAC.Uterine artery embolisation for the treatment of symptomatic uterine fibroids. Canberra ACT 2601 Australia:Medical Services Advisory Committee (MSAC) Australian Government Department of Health and Ageing MDP;2006."},{"key":"e_1_2_9_7_1","first-page":"1","article-title":"Uterine artery embolization for the treatment of fibroids","volume":"36","author":"Topfer L","year":"2002","journal-title":"Issues Emerg Health Technol"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-3552(98)80060-6"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000136079.62513.39"},{"key":"e_1_2_9_10_1","unstructured":"SGO Position Statement:Morcellation 230 W. Monroe St. Ste. 710Chicago IL 60606\u20104703:Society of Gynecologic Oncology;2013. 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