A pictorial review of ultrasonography of the FIGO classification for uterine leiomyomas

Transvaginal natural orifice endoscopic surgery for myomectomy: Can it be a conventional surgery?

“…Myomas may grow asymptomatically. When symptoms occur, abnormal uterine bleeding, urinary or bowel dysfunction, infertility, and abdominal pain are mainly reported (8)(9)(10). Thus, women with this disease have high risks of developing physical and emotional distress, which can strongly impact their life (11).…”

Ovarian Masses: The Value of Acoustic Shadowing on Ultrasound Examination

“…Leiomyomas usually appear as well‐defined, solid, concentric, hypoechoic masses with a variable amount of acoustic shadowing at the edge of the lesion or as an internal fan‐shaped shadow 27,28 . Depending on the level of calcification and fibrous tissue, leiomyomas may present with different echogenicity, usually as hyperechogenic or isoechogenic 29,30 . Recurrent, refractory shadowing in a pelvic mass can be a valuable diagnostic clue, indicating that the mass is likely to be a leiomyoma 28 …”

“…27,28 Depending on the level of calcification and fibrous tissue, leiomyomas may present with different echogenicity, usually as hyperechogenic or isoechogenic. 29,30 Recurrent, refractory shadowing in a pelvic mass can be a valuable diagnostic clue, indicating that the mass is likely to be a leiomyoma. 28 Another particular challenge is the assessment of solid adnexal masses.…”

The Expanding Role of Sonography in the Clinical Practice of Modern Obstetrics and Gynecology: A Clinical Perspective

“…9 Sonographic imaging had been previously compared with computed tomography (CT) and magnetic resonance imaging (MRI) for the identification of fibroids, but such comparisons have simply resulted in the substantial use of sonography with or without saline infusion sonohysterography (SIS) for this purpose in current clinical practice. 10 During menopause and the peri-menopausal timeframe, abnormal bleeding may prompt sonographic imaging to consider the possibility that it may be caused by endometrial carcinoma (EC) or any related problem of endometrial hyperplasia. In considering this, it is common to sonographically measure the endometrial thickness, which may indicate the need for histologic sampling (e.g., with an endometrial biopsy or dilatation and curettage [D&C]).…”

“…9 Sonographic imaging had been previously compared with computed tomography (CT) and magnetic resonance imaging (MRI) for the identification of fibroids, but such comparisons have simply resulted in the substantial use of sonography with or without saline infusion sonohysterography (SIS) for this purpose in current clinical practice. 10…”