THE IMPORTANCE OF COMPRESSION SONOELASTOGRAPHY IN IMPROVING THE DIAGNOSTICS OF THE PATHOLOGY OF MYOMETRY

E. Sharmazanov, I. Safonova, Yu. Mityakova
In: East European Scientific Journal · 2021 · vol. 2 , pp. 25–31 · W3175558421
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Compression sonoelastography effectively differentiated leiomyoma and adenomyosis based on distinct elastographic characteristics, though histological confirmation revealed some discrepancies.

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Abstract

We carried out a comparative clinical assessment of the possibility of compression sonoelastography with the data of histological examination in the process of diagnosing myometrial pathology. 155 women were examined, the average age of which was 44 ± 3.6. Elastographic images of adenomyosis and leiomyoma were analyzed in those patients in whom the elastographic diagnosis was confirmed by histological examination. Group 1 included 30 women with leiomyoma, group 2 consisted of 14 women with suspected adenomyosis, group 3 (42 women) - combined pathology of adenomyosis and leiomyoma. Leiomyoma and adenomyosis had different elastographic characteristics (strain ratios) with different color mapping; their specific characteristics and main differences are determined. Based on sonoelastography, the majority of patients (n = 30) were suspected of having uterine fibroids, 14 had adenomyosis, and 42 had adenomyosis and fibroids. In 3 patients with uterine leiomyoma in sonoelastography revealed histological signs of adenomyosis. Compression sonoelastography is able to identify clear distinguishing features of leiomyoma and adenomyosis, and consistency of diagnoses based on sonoelastography and histology is significant but not optimal.

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adenomyosis

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