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© 2002 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 21:861-865 • 0278-4297

Color Doppler Sonography of Endometrial Masses

Arthur C. Fleischer, MD, Heidi W. Shappell, MD, Lynn P. Parker, MD and Cynthia W. Hanemann, MD

Departments of Radiology (A.C.F., C.W.H.), Obstetrics and Gynecology (A.C.F., L.P.P.), and Pathology (H.W.S.), Vanderbilt University Medical Center, Nashville, Tennessee.

Address correspondence and reprint requests to Arthur C. Fleischer, MD, Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, 1116 21st Ave S, Nashville, TN 37232-2675.

Objective. To correlate the color Doppler sonographic features of endometrial masses with histologic characteristics and microvessel density. Methods. We performed a retrospective analysis of 10 postmenopausal and 5 premenopausal women with abnormal bleeding who had color Doppler sonography and histologic studies of endometrial masses. Results. Endometrial masses that contained multiple branches on color Doppler sonography were more likely carcinomas, even though both polyps and carcinomas were vascular on color Doppler sonography and their microvessel densities were similar. On color Doppler sonography, polyps averaged 1.2 detectable vessels versus 3.4 for carcinomas. Conclusions. Color Doppler sonography may be useful in distinguishing carcinomas from polyps in women with thickened endometria.

Abbreviations: CDS, color Doppler sonography • TVS, transvaginal sonography

Key Words: color Doppler sonography • endometrial carcinomas • endometrial polyps • microvessel density




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