|
KMID : 0880420060070040281
|
|
Korean Journal of Radiology
2006 Volume.7 No. 4 p.281 ~ p.286
|
|
|
Sonographic Findings of Uterine Endometrial Stromal Sarcoma
|
|
Kim Jeong-Ah
Lee Myung-Sook
Choi Jong-Sun
|
|
|
Abstract
|
|
|
Objective : The study was performed to present the sonographic findings of uterine endometrial stromal sarcoma (ESS).
Materials and Methods : We conducted a retrospective review of sonographic findings of 10 cases that were diagnosed as uterine ESS. The patients’ ages ranged from 25 to 51 years (mean age: 36.1 years). The reviews focused on the location, margin, size, number and echotexture of the lesions. Hysterectomy (n = 9) and myomectomy (n = 1) were performed and a pathologic diagnosis was obtained in all cases.
Results : The masses were located in the uterine wall (n = 6), or they presented as a polypoid mass protruding into the endometrial cavity from the myometrium (n = 3) or as a central cavity mass (n = 1). The lesion margins were smooth (n = 5), ill defined (n = 2), or smooth with partially nodular extensions (n = 3). The maximal mass length was 38 mm to 160 mm with a mean mass length of 83.5 mm. There were single lesions in eight cases and multiple lesions in two cases. The lesion echotextures were hypoechoic solid (n = 3), heterogeneously intermediate echoic (n = 5), diffuse myometrial thickening with heterogeneous echogenicity (n = 1) and septated cystic (n = 1).
Conclusion : Endometrial stromal sarcoma presents with four patterns of its sonographic appearance; a polypoid mass with nodular myometrial extension, an intramural mass with an ill defined margin and heterogeneous echogenicity, an ill defined large central cavity mass or, diffuse myometrial thickening.
|
|
|
KEYWORD
|
|
|
Ultrasound (US), Uterine sarcoma, Endometrial stromal sarcoma
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
    
|
|