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| The value of transvaginal three-dimentional ultrasound for diagnosing cervical carcinoma and cervical leiomyoma |
| LI Ping, WANG Xue-mei, LIU Yan-jun, ZHANG Yu-qin |
| Department of Ultrasound, First Hospital of China Medical University, Shenyang 110001， China |
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Abstract Objective: To investigate the value of transvaginal three-dimentional ultrasound in diagnosing cervical carcinoma and cervical leiomyoma. Methods: Thirty-four patients with cervical leiomyoma and fourty-six patients with cervical carcinoma were enrolled in the study who were examined by transvaginal three-dimentional ultrasound accompanied with color Doppler energy. The characteristics of the two diseases such as site, shape, boundary, blood flow, infiltration and lymph node metastasis were observed. Results: The cervical leiomyoma mainly located in the cervical myometrium(n=26), and displayed as spherical hypoechoic nodules with clear boundary which surrounded by blood flow. The cervical carcinoma mainly located near cervical external os(n=41), and displayed as hypoechoic lesions with irregular morphology and unclear boundary which had abundant and disordered blood supply. There were statistically significant differences between the two groups about morphology, boundary, blood flow, infiltration of surrounding organs and lymph node metastasis(P<0.05). Conclusions: Transvaginal three-dimentional ultrasound is a useful tool to investigate cervical mass, it can display the lesion and its vascularization stereoscopically and visually. It can provide some valuable information for diagnosing cervical carcinoma and cervical leiomyoma.
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Received: 25 October 2012
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2013, Vol. 24 
