Ultrasound examination, magnetic resonance imaging MRI , or computed tomography CT do not reliably distinguish between sarcoma, leiomyoma, endometrial cancer, lymphoma, intravenous leiomyomatosis, or adenomyosis.
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Risk factors for lack of symptom control have included patients with longer duration of disease, presence of hiatal hernia, extraesophageal symptoms, and lack of compliance 63.