Dysfunctional uterine bleeding ultrasound: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Dysfunctional uterine bleeding}} | {{Dysfunctional uterine bleeding}} | ||
{{CMG}}{{AE}}[[User:AroojNaz|Arooj Naz]] | {{CMG}}; {{AE}}[[User:AroojNaz|Arooj Naz]] | ||
==Overview== | ==Overview== | ||
Ultrasonography, although not the most sensitive or specific imaging modality, is commonly the primary type of imaging done for patients with dysfunctional uterine bleeding. [[Transvaginal ultrasound|Transvaginal ultrasounds]] are more accurate compared to [[pelvic ultrasound]], but [[pelvic ultrasound]] reveals certain pathologies, including [[uterine]] and [[adnexal]] masses, more clearly. Ultrasonography is a simple and easily available diagnostic method for [[PCOS]]. | [[Ultrasonography]], although not the most sensitive or specific imaging modality, is commonly the primary type of imaging done for patients with [[dysfunctional uterine bleeding]]. [[Transvaginal ultrasound|Transvaginal ultrasounds]] are more accurate compared to [[pelvic ultrasound]], but [[pelvic ultrasound]] reveals certain pathologies, including [[uterine]] and [[adnexal]] masses, more clearly. Ultrasonography is a simple and easily available diagnostic method for [[PCOS]]. | ||
==Ultrasound== | ==Ultrasound== | ||
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|<br />[[File:Endometrial-polyps.jpg|center|thumb|300x300px|Case courtesy of Dr J. Ray Ballinger, Radiopaedia.org, rID: 23679]]<br /> | |<br />[[File:Endometrial-polyps.jpg|center|thumb|300x300px|Case courtesy of Dr J. Ray Ballinger, Radiopaedia.org, rID: 23679]]<br /> | ||
| | | | ||
* | *Solitary, [[homogeneous]] and [[echogenic]] lesion | ||
* | *Rarely hypoechoic or heterogeneous | ||
* | *May be [[pedunculated]] (with a stalk) or broad-based | ||
* | *May possibly be surrounded by endometrial fluid | ||
|- | |- | ||
|'''[[Adenomyosis]]''' <ref name="“Radiopaedia”2">{{cite web|url=https://radiopaedia.org/articles/adenomyosis}}</ref> | |'''[[Adenomyosis]]''' <ref name="“Radiopaedia”2">{{cite web|url=https://radiopaedia.org/articles/adenomyosis}}</ref> | ||
|<br />[[File:Uterine-adenomyosis-2.jpg|center|thumb|300x300px|Case courtesy of The Radswiki, Radiopaedia.org, rID: 11170]]<br /> | |<br />[[File:Uterine-adenomyosis-2.jpg|center|thumb|300x300px|Case courtesy of The Radswiki, Radiopaedia.org, rID: 11170]]<br /> | ||
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* | *Linear striations extending from the [[endometrium]] into the [[myometrium]] | ||
* | *An irregular junction between the [[endometrium]] and [[myometrium]] | ||
* | * | ||
*[[Subendometrial cysts]] that measure 1-5 mm in size (specific sign) | |||
|- | |- | ||
|'''[[Leiomyoma]]''' <ref name="“Radiopaedia”3">{{cite web|url=https://radiopaedia.org/articles/uterine-leiomyoma}}</ref> | |'''[[Leiomyoma]]''' <ref name="“Radiopaedia”3">{{cite web|url=https://radiopaedia.org/articles/uterine-leiomyoma}}</ref> | ||
|[[File:Subserosal-uterine-fibroid.jpg|center|thumb|300x300px|Case courtesy of Dr Maulik S Patel, Radiopaedia.org, rID: 12850]] | |[[File:Subserosal-uterine-fibroid.jpg|center|thumb|300x300px|Case courtesy of Dr Maulik S Patel, Radiopaedia.org, rID: 12850]] | ||
| | | | ||
* | *Hypoechoic | ||
* | *[[Calcifications]] present | ||
* | *[[Cystic necrotic areas]] | ||
|- | |- | ||
|'''[[Uterine cancer|Malignancy]]''' <ref name="“Radiopaedia”4">{{cite web|url=https://radiopaedia.org/articles/endometrial-carcinoma}}</ref> | |'''[[Uterine cancer|Malignancy]]''' <ref name="“Radiopaedia”4">{{cite web|url=https://radiopaedia.org/articles/endometrial-carcinoma}}</ref> | ||
|<br />[[File:Endometrial-carcinoma-in-premenopausal-woman.png|center|thumb|300x300px|Case courtesy of Dr Aneta Kecler-Pietrzyk, Radiopaedia.org, rID: 53104]]<br /> | |<br />[[File:Endometrial-carcinoma-in-premenopausal-woman.png|center|thumb|300x300px|Case courtesy of Dr Aneta Kecler-Pietrzyk, Radiopaedia.org, rID: 53104]]<br /> | ||
| | | | ||
* | *Thickened [[endometrial strip]]; >5 mm in postmenopausal, >8 mm if currently using hormone replacement therapy or tamoxifen | ||
* | *Mass [[lesion]] | ||
* | *Intrauterine fluid accumulation | ||
* | *Invasion of the [[myometrium]] | ||
|- | |- | ||
|'''[[PCOS]]''' <ref name="“Radiopaedia”5">{{cite web|url=https://radiopaedia.org/articles/polycystic-ovarian-syndrome-1}}</ref> | |'''[[PCOS]]''' <ref name="“Radiopaedia”5">{{cite web|url=https://radiopaedia.org/articles/polycystic-ovarian-syndrome-1}}</ref> | ||
|[[File:Polycystic-ovarian-syndromeUSG.jpg|center|thumb|300x300px|Case courtesy of The Radswiki, Radiopaedia.org, rID: 11803]] | |[[File:Polycystic-ovarian-syndromeUSG.jpg|center|thumb|300x300px|Case courtesy of The Radswiki, Radiopaedia.org, rID: 11803]] | ||
| | | | ||
* | *Enlarged [[ovaries]] | ||
* | *Multiple [[follicles]] present | ||
* | *Follicles rang in size; 2-9mm | ||
* | *Increased [[ovarian volume]] | ||
|- | |- | ||
|'''Endometrial Causes''' <ref name="“Radiopaedia”6">{{cite web|url=https://radiopaedia.org/articles/endometrioma1}}</ref> | |'''Endometrial Causes''' <ref name="“Radiopaedia”6">{{cite web|url=https://radiopaedia.org/articles/endometrioma1}}</ref> | ||
| Line 57: | Line 58: | ||
[[File:Endometriomas-1.jpg|center|thumb|300x300px|Case courtesy of Assoc Prof Frank Gaillard, Radiopaedia.org, rID: 23580]]<br /> | [[File:Endometriomas-1.jpg|center|thumb|300x300px|Case courtesy of Assoc Prof Frank Gaillard, Radiopaedia.org, rID: 23580]]<br /> | ||
| | | | ||
* | *Unilocular [[cyst]] | ||
* | *[[Hemorrhagic debris]] resulting in diffuse homogeneous ground-glass masses | ||
* | *Multiple [[locules]] | ||
|} | |} | ||
Revision as of 08:07, 18 March 2022
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Dysfunctional uterine bleeding Microchapters |
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Differentiating Dysfunctional uterine bleeding from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Dysfunctional uterine bleeding ultrasound On the Web |
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American Roentgen Ray Society Images of Dysfunctional uterine bleeding ultrasound |
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Directions to Hospitals Treating Dysfunctional uterine bleeding |
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Risk calculators and risk factors for Dysfunctional uterine bleeding ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz
Overview
Ultrasonography, although not the most sensitive or specific imaging modality, is commonly the primary type of imaging done for patients with dysfunctional uterine bleeding. Transvaginal ultrasounds are more accurate compared to pelvic ultrasound, but pelvic ultrasound reveals certain pathologies, including uterine and adnexal masses, more clearly. Ultrasonography is a simple and easily available diagnostic method for PCOS.
Ultrasound
| Underlying Cause | Ultrasound Imaging | Findings |
|---|---|---|
| Endometrial Polyps [1] |  |
|
| Adenomyosis [2] |  |
|
| Leiomyoma [3] |  |
|
| Malignancy [4] |  |
|
| PCOS [5] |  |
|
| Endometrial Causes [6] |
 |
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References
- ↑ https://radiopaedia.org/articles/endometrial-polyp. Missing or empty
|title=(help) - ↑ https://radiopaedia.org/articles/adenomyosis. Missing or empty
|title=(help) - ↑ https://radiopaedia.org/articles/uterine-leiomyoma. Missing or empty
|title=(help) - ↑ https://radiopaedia.org/articles/endometrial-carcinoma. Missing or empty
|title=(help) - ↑ https://radiopaedia.org/articles/polycystic-ovarian-syndrome-1. Missing or empty
|title=(help) - ↑ https://radiopaedia.org/articles/endometrioma1. Missing or empty
|title=(help)