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KMID : 0361820090280040213
Journal of the Korean Society of Medical Ultrasound
2009 Volume.28 No. 4 p.213 ~ p.217
Color Doppler Ultrasonographic Findings of Vascular Leiomyoma: Pathologic Correlation


Abstract
Purpose: To evaluate the distribution of color flow signals on color Doppler ultrasonography of vascular leiomyomas and to correlate them with pathologic findings.

Materials and Methods : We retrospectively analyzed color Doppler ultrasonographic images and pathologic slides of six vascular leiomyomas. We classified the patterns of distribution of color flow signals into localized compact cluster types and non-cluster types, and the pathologic findings into three subtypes: solid, venous and cavernous.

Results: All cases showed well-defined homogenous hypoechoic subcutaneous masses on gray-scale ultrasonography. Three cases showed localized compact cluster types on color Doppler ultrasonography, one in each subtype (solid, venous and cavernous). For the three non-cluster types, again there was on in each subtype. In addition, on pathologic analysis the zone of the localized compact cluster of color flow signals coincided with a cluster of larger, vascular caliber masses.

Conclusions: Localized compact clusters of color flow signals on color Doppler ultrasonography were seen in 50% of our cases and correlated with a cluster of larger vascular caliber in the mass. But the pattern of distribution of color flows didn¡¯t show a correlation with pathologic type.
KEYWORD
Vascular leiomyoma, color Doppler, Ultrasonography, Soft tissue neoplasm
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