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The characterization of uterine tumors by transvaginal color Doppler
Author(s) -
Kurjak A.,
Žalud I.
Publication year - 1991
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.1991.01010050.x
Subject(s) - medicine , adenomyosis , myoma , uterine sarcoma , uterus , gynecology , carcinoma , blood flow , pathological , radiology , pathology
The present study aimed to evaluate the possibility of using transvaginal color Doppler and spectral analysis to differentiate between malignant and benign uterine tumors. This method was performed on 308 patients with uterine tumors before gynecological surgery. The final diagnosis was made following pathological examination of the uterus. There were 291 benign and 17 malignant uterine tumors. Tumor arterial blood flow was detected in 134 (58%) patients with myoma (RI = 0.58 ± 0.12 SD), 23 (42.6%) patients with adenomyosis (RI = 0.67 ± 0.14), 12 (92.3%) patients with endometrial carcinoma (RI = 0.34 ± 0.05)) three (100%) patients with uterine sarcoma (RI = 0.31 ± 0.03) and in one case (100%) of sarcoma botryoides (RI = 0.33). Blood flow was not detected in patients with endometriotic cysts (n = 6). The comparison of RI between patients with uterine myoma and endometrial cancer showed a significantly lower RI in the cases of endometrial carcinoma (t = 13.5; p < 0.01). Our results showed that transvaginal color Doppler has potential in the non‐invasive differentiation of benign and malignant uterine tumors. Copyright © 1991 International Society of Ultrasound in Obstetrics and Gynecology