Adenomyosis or Fibroid? Making the Right Diagnosis
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Power Doppler ultrasound, when combined with B-mode imaging, effectively distinguishes adenomyosis from fibroids by differentiating their vascularity patterns and flow impedance.
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Abstract
Background: Differentiating adenomyomas from fibroids may be challenging at times when we use routine morphological criteria. Using Doppler in addition to routine B mode ultrasound can help in differentiating adenomyomas from fibroid uterus. Materials and methods: This is a prospective study done on patients diagnosed with fibroid or adenomyosis who were planned for hysterectomy. Routine ultrasound with Power Doppler was done for all patients and the blood flow impedance between the two was compared. Results: There was a significant difference between the blood flow in adenomyosis and fibroid. Fibroids had peripherally distributed vascularity with low impedance and adenomyosis had intralesional vascularity with high resistance flow. Conclusion: Use of Doppler in addition to morphological features on routine ultrasound helps to differentiate the uterine lesions like fibroid and adenomyosis.
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Too few in-corpus citations on either side for a chart; here are the lists.
Cites (4)
- Tumor Vascular Pattern and Blood Flow Impedance in the Differential Diagnosis of Leiomyoma and Adenomyosis by Color Doppler Sonography 1999
- Role of 3D Ultrasound and Doppler in Differentiating Clinically Suspected Cases of Leiomyoma and Adenomyosis of Uterus 2015
- Transvaginal Doppler examination of uteri with myomas 1996
- Concomitant use of transvaginal sonography and Doppler indices improve diagnosis of adenomyosis 2017
References (6)
- Concomitant use of transvaginal sonography and Doppler indices improve diagnosis of adenomyosis via openalex
- Role of 3D Ultrasound and Doppler in Differentiating Clinically Suspected Cases of Leiomyoma and Adenomyosis of Uterus via openalex
- Transvaginal Doppler examination of uteri with myomas via openalex
- Tumor Vascular Pattern and Blood Flow Impedance in the Differential Diagnosis of Leiomyoma and Adenomyosis by Color Doppler Sonography via openalex
- W1805195244 via openalex
- W2159476853 via openalex
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