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Journal of Ultrasound in Medicine, Vol 2, Issue 9 401-406, Copyright © 1983 by American Institute of Ultrasound in Medicine
Sonographic features of uterine leiomyomas: analysis of 41 proven cases
B. H. Gross, T. M. Silver and M. H. Jaffe
The relative frequencies of the different sonographic features and patterns
of uterine leiomyomas have been examined by prospective and retrospective
analyses of the sonograms in 41 proven cases. The original sonographic
reports correctly predicted the presence of myomas in 27/45 studies
(sensitivity = 60 per cent). Retrospective analyses of the sonograms
revealed abnormalities in 32/41 patients (sensitivity = 78 per cent). Most
myomatous uteri had two or more sonographic abnormalities, most frequently
uterine contour irregularity (76 per cent), altered echo texture (68 per
cent) and/or enlargement (66 per cent). Minimal contour irregularity at the
interface between the uterus and the bladder deserves emphasis as a subtle
diagnostic sign of leiomyoma. Careful attention to the uterus in examining
a patient referred for an adnexal mass should improve the diagnostic
accuracy of myoma detection by sonography.
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