Journal of Ultrasound in Medicine, Vol 15, Issue 3 195-199, Copyright © 1996 by American Institute of Ultrasound in Medicine
Lipomatous tumors of the uterus: ultrasonographic findings in 11 cases
G. Serafini, C. Martinoli, P. Quadri, S. Speca, G. Crespi and E. Venturino
We reviewed the ultrasonographic findings in eight patients with 11
lipomatous uterine tumors studied with transabdominal (eight cases) and
transvaginal (six cases) techniques. A transvaginal color Doppler study was
obtained in five patients. Two patients had more than one nodule (two and
three uterine nodules, respectively). All lipomatous tumors had regular
margins and were hyperechoic. Transvaginal sonography allowed the
identification of one small previously undetected tumor but was not able to
image the entire extent of two large lipomatous masses. In one case, it
helped to establish the actual uterine origin of an eccentric pelvic mass.
Color Doppler sonography showed complete absence of flow in all tumors
examined. We believe that lipomatous tumors of the uterus can be diagnosed
with a high degree of certainty by ultrasonography if a homogeneously
hyperechoic avascular mass can be clearly identified to be of uterine
origin.
