Kupfer M C, Schiller V L, Hansen G C, Tessler F N
Northridge Hospital Medical Center, CA.
J Ultrasound Med. 1994 Jul;13(7):535-9. doi: 10.7863/jum.1994.13.7.535.
The purpose of this study was to correlate the sonographic and histologic findings of focal lesions of the endometrium as depicted by transvaginal sonography. Sixteen focal endometrial masses were encountered during an 8 month period. The transvaginal sonographic appearance was correlated with findings at surgery or hysteroscopy. All uniformly hyperechoic endometrial masses were benign endometrial polyps. Five heterogeneous lesions were complicated endometrial polyps; one of these showed a focus of endometrial carcinoma. Four small and uniformly hypoechoic lesions were all prolapsed submucosal leiomyomata. Our results showed that a well-defined, uniformly hyperechoic mass within the endometrial cavity is most suggestive of a benign endometrial polyp. Larger masses with a heterogeneous appearance are nonspecific and warrant further evaluation and biopsy.
本研究的目的是将经阴道超声检查所显示的子宫内膜局灶性病变的超声检查结果与组织学结果进行关联。在8个月的时间里共发现16例子宫内膜局灶性肿块。经阴道超声检查结果与手术或宫腔镜检查结果相关联。所有均匀高回声的子宫内膜肿块均为良性子宫内膜息肉。5例不均质病变为复杂性子宫内膜息肉；其中1例显示子宫内膜癌灶。4例小的、均匀低回声病变均为黏膜下脱垂平滑肌瘤。我们的结果表明，子宫内膜腔内边界清晰、均匀高回声的肿块最提示为良性子宫内膜息肉。外观不均质的较大肿块无特异性，需要进一步评估和活检。
