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| Analysis of Abnormally Thickened Endometrial Pat terns on Transva ginal Sonography |
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| Myung Sook Lee, M.D. Hyeun Cha Cho, M.D. |
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| Department of Radiology, Samsung Cheil Hospital, Sungkyunkwan University School of Medicine |
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| PURPOSE : To determine whether the transvaginal sonographic appearance of the thickened endometrium can help
to predict the underlying endometrial pathologic process.
MATERIALS and METHODS : The sonogram reports of all 41 pre-and 21 postmenopausal women who underwent trans-vaginal
sonogram were retrospectively analyzed. The women undergoing estrogen replacement therapy, tamox-ifen
therapy or having abnormal cervical cytology were excluded from this study. The analysis of sonographic
and histologic results was performed in all patients.
RESULTS : Three distinct sonographic patterns were encountered. Type I consisted of heterogeneous endometrial
thickening with internal hypoechoic areas(normal[n=4], polyp[n=1] and cancer[n=4] in premenopausal women
and cancer[n=4] in postmenopasual women). Type II consisted of echogenic endometrial thickening with or
without tiny cysts(normal[n=5], & hyperplasia[n=7] in premenopasual women and normal[n=4], polyp[n=2], &
hyperplasia[n=1] in postmenopausal women). Type III consisted of localized well defined endoluminal lesion
(normal[n=1], polyp[n=14], hyperplasia[n=1], cancer[n=1], & submucosal mass[n=3] in premenopausal
women and normal[n=4], polyp[n=2], submucosal mass[n=3], & hematoma[n=1] in postmenopausal women).
CONCLUSION : The measurement of the endometrial thickness combined with analysis of sonographic echopatterns
may be helpful in prediction and differentiation of endometrial disease in pre- and postmenopausal women.
Also it can contribute to avoiding unnecessory D&C. |
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| Keyword : Uterus, endometrium, Uterus, US |
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pdf파일 : 105이명숙.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 1999 ; 18 (2) : p.105-110
