Clinical data,pathological characteristics and ultrasound results analysis in 52cases of uterine intravenous leiomyoma

Objective To study clinical data,pathological characteristics and ultrasonography imaging feature of uterine intravenous leiomyoma,so as to improve the detection rate of the disease. Methods We analysed clinical symptoms and ultrasonographic findings in 52cases of uterine intravenous leiomyoma retrospectively,which had been treated and diagnosed by surgical pathology in our hospital from Jun.,2007to Jun.,2012. Results Clinical manifestations are similar to ordinary uterine fibroids.Twenty-five patients complained of pelvic mass(48.1%),16 of them had changed menstruation(30.8%),9of them presented abdominal bulge or pain(17.3%)and 2of them had increased leucorrhea(3.8%).Before operation,only 3cases were accurately diagnosed(5.8%)with ultrasonography.The cases of misdiagnosis by ultrasonography included 29cases of uterine leiomyoma(55.8%),11cases of uterine leiomyoma with degeneration(21.1%),5cases of uterine leiomyoma with adenomyosis(9.6%),3cases of adenomyosis(5.8%)and 1case of ovarian tumor(1.9%).A total abdominal hysterectomy with bilateral/unilateral oophorectomy were performed in 26cases.Only 6patients underwent uterine leiomyoma stripping surgery.Three of them underwent hysterectomy due to recurence of uterus increase with total hysterectomy. Conclusions Lacking of specific sonographic feature is the main factor that affecting the accuracy of ultrasound of uterine intravenous leiomyoma.