Sonographic Findings of Uterine Polypoid Adenomyomas

Eun Ju Lee, Lee EJ, Hee Jae Joo, Joo HJ, Hee Sug Ryu, Ryu HS
Ultrasound quarterly · 2004 · vol. 20(1) , pp. 2–11 · doi:10.1097/00013644-200403000-00002 · PMID:15480214 · W1989071070
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This study identified three sonographic patterns for uterine polypoid adenomyomas: solid, solid with cystic areas, and predominantly cystic, aiding in differentiation from other uterine masses.

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This retrospective study analyzed ultrasound data from 32 patients to characterize the sonographic features of polypoid adenomyomas. The authors identified three distinct imaging patterns ranging from solid masses to those with predominantly cystic areas, noting common traits such as ill-defined margins and associated myometrial adenomyosis. These findings aim to help clinicians distinguish polypoid adenomyomas from other uterine tumors based on specific echogenic characteristics. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Based on a retrospective analysis of 32 patients with polypoid adenomyomas of the uterus, the authors have identified 3 sonographic patterns: solid (pattern 1, 8 cases), solid with cystic areas (pattern 2, 22 cases), and predominantly cystic (pattern 3, 2 cases). Sonographic features include a heterogeneously isoechoic, polypoid, or pedunculated endometrial mass, with an ill-defined margin, hemorrhagic foci, posterior shadowing, and associated adenomyosis in the myometrium. Knowledge of these sonographic appearances may facilitate the diagnosis of polypoid adenomyoma and help differentiate it from other polypoid uterine tumors.
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Original Article Sonographic Findings of Uterine Polypoid Adenomyomas - Eun Ju Lee - Hee Jae Joo - Hee Sug Ryu Ultrasound Quarterly 20(1):p 2-11, March 2004. Abstract: Based on a retrospective analysis of 32 patients with polypoid adenomyomas of the uterus, the authors have identified 3 sonographic patterns: solid (pattern 1, 8 cases), solid with cystic areas (pattern 2, 22 cases), and predominantly cystic (pattern 3, 2 cases). Sonographic features include a heterogeneously isoechoic, polypoid, or pedunculated endometrial mass, with an ill-defined margin, hemorrhagic foci, posterior shadowing, and associated adenomyosis in the myometrium. Knowledge of these sonographic appearances may facilitate the diagnosis of polypoid adenomyoma and help differentiate it from other polypoid uterine tumors. Copyright © 2004 Lippincott Williams & Wilkins, Inc.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyoma Uterine Neoplasms Adenomyoma Adenomyoma Diagnosis, Differential Female Humans Ultrasonography Uterine Neoplasms Uterine Neoplasms

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (14)

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