Dysfunctional uterine bleeding MRI: Difference between revisions

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{{Dysfunctional uterine bleeding}}
{{Dysfunctional uterine bleeding}}
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==Overview==
CT scans are not the primary modality of assessing for underlying causes, but it may show some changes. It may be difficult to differentiate [[polyps]], [[adenomyosis]] and [[Leiomyoma|leiomyoma's]] from each other. CT can help asses for the presence of [[metastasis]] secondary to [[endometrial cancer]].
 
==CT==
{| class="wikitable"
|+
CT Scan Findings
!Underlying Cause
!CT Scan
!Findings
|-
|'''[[Endometrial polyp|Endometrial Polyps]]''' <ref name="“Radiopaedia”">{{cite web|url=https://radiopaedia.org/articles/endometrial-polyp}}</ref>
|[[File:Uterine-leiomyomas-and-endometrial-polyp.jpg|thumb|300x300px|Case courtesy of Dr Ahmed Abdrabou, Radiopaedia.org, rID: 22640|alt=|center]]
|
*Difficult to distinguish from adenomyosis
|-
|'''[[Adenomyosis]]''' <ref name="“Radiopaedia”2">{{cite web|url=https://radiopaedia.org/articles/adenomyosis}}</ref>
|[[File:Adenomyosis-of-the-uterus.jpg|thumb|300x300px|Case courtesy of Associate Professor Natalie Yang, Radiopaedia.org, rID: 9868|alt=|center]]
|
*Uterine enlargement may be seen
*Appear very similar to fibroids
*Adenomyosis is favoured if [[calcifications]] is present
|-
|'''[[Leiomyoma]]''' <ref name="“Radiopaedia”3">{{cite web|url=https://radiopaedia.org/articles/uterine-leiomyoma}}</ref>
|[[File:Degenerated-fibroid-uterus.jpg|center|thumb|300x300px|Case courtesy of Assoc Prof Frank Gaillard, Radiopaedia.org, rID: 17065]]
 
 
|
*soft tissue densities
*may exhibit coarse peripheral or central calcification
*may distort the smooth uterine contour
|-
|'''[[Uterine cancer|Malignancy]]''' <ref name="“Radiopaedia”4">{{cite web|url=https://radiopaedia.org/articles/endometrial-carcinoma}}</ref>
|[[File:Endometrial-adenocarcinoma.jpg|center|thumb|300x300px|Case courtesy of Dr Ayush Goel, Radiopaedia.org, rID: 35271]]
 
|
* CT is helpful in assessing for the presence of metastasis
* difficult to differentiate from a normal uterus 
* thickening or a mass may be visible
|}


==References==
==References==

Revision as of 09:41, 9 March 2022

Dysfunctional uterine bleeding Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Arooj Naz

Overview

CT scans are not the primary modality of assessing for underlying causes, but it may show some changes. It may be difficult to differentiate polyps, adenomyosis and leiomyoma's from each other. CT can help asses for the presence of metastasis secondary to endometrial cancer.

CT

CT Scan Findings
Underlying Cause CT Scan Findings
Endometrial Polyps [1]
Case courtesy of Dr Ahmed Abdrabou, Radiopaedia.org, rID: 22640
  • Difficult to distinguish from adenomyosis
Adenomyosis [2]
Case courtesy of Associate Professor Natalie Yang, Radiopaedia.org, rID: 9868
  • Uterine enlargement may be seen
  • Appear very similar to fibroids
  • Adenomyosis is favoured if calcifications is present
Leiomyoma [3]
Case courtesy of Assoc Prof Frank Gaillard, Radiopaedia.org, rID: 17065


  • soft tissue densities
  • may exhibit coarse peripheral or central calcification
  • may distort the smooth uterine contour
Malignancy [4]
Case courtesy of Dr Ayush Goel, Radiopaedia.org, rID: 35271
  • CT is helpful in assessing for the presence of metastasis
  • difficult to differentiate from a normal uterus
  • thickening or a mass may be visible

References

  1. https://radiopaedia.org/articles/endometrial-polyp. Missing or empty |title= (help)
  2. https://radiopaedia.org/articles/adenomyosis. Missing or empty |title= (help)
  3. https://radiopaedia.org/articles/uterine-leiomyoma. Missing or empty |title= (help)
  4. https://radiopaedia.org/articles/endometrial-carcinoma. Missing or empty |title= (help)

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