Endosonography of benign myometrium cysts and cyst-like lesions

Introduction Many pathological causes are responsible for the sonographic presentation of myometrium cysts and cyst-like lesions, where the distinction between these etiologies is required. The aim of the work The current work is aimed at discerning between different etiologies of myometrium cysts and cyst-like lesions for an optimum management. Methodology In the course of daily practice of gynecological transvaginal ultrasound, 66 cases of myometrium cysts and cyst-like lesions have been discerned, where all were examined with endovaginal ultrasound using a multifrequency endocavitary probe having color Doppler capability.

Adenomyosis uteri detected in 15 cases, invasive mole in 4 cases, congested arcuate veins in 20 cases, incidental cysts in 4 cases, cystic degeneration of myoma in 3 cases, C-section scar cysts and cyst-like lesions in 13 cases, interstitial ectopic pregnancy in 2 cases, incomplete abortion with congested myometrium vessels in 4 cases, and arteriovenous malformation in 1 case. The number of cases with cervical nabothian cysts was not considered since they were too frequent.

Endosonography is an important tool in differentiating between the various diseases that are responsible for benign myometrium cysts and cyst-like lesions, which are all important since some of them are visualized as serious clinical situations and others turn out to be of little clinical significance. Riassunto Introduzione Molte patologie sono responsabili della presentazione ecografica di cisti del miometrio e di lesioni simil-cistiche ed è necessaria la distinzione tra le varie eziologie. Scopo del lavoro Scopo del lavoro è distinguere tra le diverse eziologie delle cisti del miometrio e delle lesioni simil-cistiche per una loro gestione ottimale. Materiali e metodi Durante la pratica quotidiana di ecografia transvaginale ginecologica sono stati riscontrati 66 casi di cisti del miometrio e di lesioni simil-cistiche, tutti sono stati esaminati con ecografia endovaginale con sonda endocavitaria multifrequenza e modulo Doppler. Risultati In 15 casi è stata rilevata adenomiosi dell’utero, in 4 casi mola invasiva, in 20 casi congestione venosa, in 4 casi riscontro incidentale di cisti, in 3 casi degenerazione cistica dei miomi, in 13 casi cicatrice cistica (CS) e lesioni simil-cistiche, in 2 casi gravidanza ectopica, in 4 casi aborto incompleto con vasi del miometrio congestionati e in 1 caso malformazioni artero-venose. I casi di cisti Naboth non sono stati considerati in quanto di troppo frequente riscontro. Conclusioni L’ecoendoscopia è uno strumento importante nella differenziazione delle varie malattie che sono responsabili della formazione di cisti benigne del miometrio come di lesioni simil-cistiche, alcune gravi, altre di scarsa rilevanza clinica. Similar content being viewed by others

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