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KMID : 0616620030090010051
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Journal of Soonchunhyang Medical College
2003 Volume.9 No. 1 p.51 ~ p.55
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Radiologic Diagnosis of Uterine Adenomyosis
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Yang Seung-Boo
Choi Jin-Soo
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Abstract
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Objective: To evaluate the usefulness of transvaginal sonogram for radiologic diagnosis of adenomysis uteri and useful trasvaginal sonogram findings.
Materials and Methods: Thirty five patients who were performed both ulㅅrasonography and hysterectomy proved as adenomyosis were analysed by sonographic finding of myometrial echo texture and also included 4 cases of combined myoma.
Results: Four pattern of myometrial echo texture were analyzed. The most common type is ill defined heterogenous echo(19 case) but sensitivity is low(69%). And then ill defined heterogenous echo with multiple small cystic echoes(3 case), multiple alterating striation echo pattern(11 case), and single cystic echo(2 case) were followed. Ill defined heterogenous echo with multiple small cysts and multiple alterating striation echo pattern were most reliable findings(100% of sensitivity).
Conclusion: Most reliable myometrial echo texture of adenomyosis are ill defined heterogenous echo with combined multiple small cyst or multiple alterating striation echo pattern. Multiple alteraing striation echo is the suggested charateristic finding of adenomyosis.
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KEYWORD
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Adenomvosis, transvaginal sonogram
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