Practical Utility of Color Doppler Sonography in the Evaluation of Endometrial Pathology

Abstract

The sonographic findings and corresponding pathology reports of 83 premenopausal and 55 postmenopausal women were retrospectively reviewed to evaluate the significance of color Doppler imaging in the evaluation of the endometrium. Premenopausal women had flow noted in the single malignancy case and in 16 of 21 (76%) polyps, with 7 polyps (33%) presenting as a vascular pedicle. In postmenopausal women, flow was seen in 3 of 5 (60%) malignancies and 5 of 9 (56%) polyps, with 2 polyps (22%) presenting as a vascular pedicle. Postmenopausal women with thin endometria had flow in 1 of 2 (50%) polyps, while those with thicker endometria had flow in 4 of 7 (56%) polyps and 3 of 5 (60%) malignancies. The data showed that color Doppler imaging was useful in detecting vascular pedicles in endometrial polyps, but it was not otherwise helpful as an independent predictor of malignancy.

Correlation of color Doppler ultrasound and pathological grading in endometrial carcinoma

“…Given the role of angiogenesis in tumor growth, it seems that evaluation of tissue vascularity via Doppler ultrasound may be useful in predicting malignant endometrial changes since malignancy is associated with increased blood flow. [ 12 ] The aim of the present study was to evaluate the efficacy of transvaginal color Doppler ultrasound (TV-CDS) for the diagnosis and differentiation of endometrial hyperplasia from endometrial carcinoma, as well as predicting tissue proliferation and tissue invasion, and comparing the results of Doppler ultrasound with pathologic results and final surgical findings of patients.…”

Информативность Трансвагинальной Сонографии При Патологии Эндометрия В Пременопаузальном Периоде

“…Исследование больных методом 2D-трансвагинальной сонографии (ТВС) позволили установить, что у 24% больных отмечалась гиперплазия эндометрия, у 10% полип эндометрия, у 10% аденомиоз, у 14% сочетание гиперплазии и полипа эндометрия, у 10% сочетание гиперплазии с аденомиозом. В единичных случаях отмечалась атрофия эндометрия, эндометрит в сочетании с полипом эндометрия, субмукозная лейомиома, у 22% больных отмечался нормальный эндометрит [7,[10][11][12].…”

“…Средний возраст обследуемых больных составил 47,82±0,27 (45-51) лет. Менархе у обследуемых женщин отмечалась с 11,0±0,15 (11)(12)(13)(14)(15)(16)(17) лет, длительность менструального цикла была в пределах 27,24±0,47 (21-45) дней, длительность менструаций -5,1±0,14 (3)(4)(5)(6)(7)(8) дней. Половая жизнь отмечалась с 19,5±0,57 (16-31) лет.…”