1.A Case of Meconium Pseudocyst which was Prenatally Diagnosed.
Cheol Gyu KANG ; Sug Young KIM ; Gyoung Hoon LEE ; Byoung Cheol CHOI ; Young Su NOH ; Kyoung Cheol SONG ; Ki Nam EOM ; Seung Ug IM
Korean Journal of Obstetrics and Gynecology 2001;44(7):1345-1349
Prenatal Ultrasonographic findings of meconium peritonitis show calcificalion, and abdominal echogenic masses such as pseudocyst. Also, we can find availability of 3 dimensional ultrasonography above these descriptions. We present a case of meconium peritonitis in uterus which was diagnosed by means of prenatal 2D & 3D ultrasonography with brief review of literatures.
Meconium*
;
Peritonitis
;
Ultrasonography
;
Uterus
2.Some methods of ultrasound for measuring the fetal weigh in uterus
Journal of Practical Medicine 2003;439(1):12-14
74 pregnancies in National Institute of protection of Mother and Children’s Health were studied concerning the fetal weigh matching 8 parameters of ultrasonic measurement of the fetus. Data based on the ratio of weigh/height of each method were annalyzed. The ratio of the mean diameter of fetus abdomen and the weight is r # 0,8 give a high value of diagnosis with an error <200g (55%). This is an eligible and generally applicable method. The graphic of abdomen development showing the correlation of mean diameter of the fetus and the fetal weight has clinical application value for diagnosis
ultrasonography
;
Uterus
;
Fetal Weight
3.A case of cystic adenomyoma of the uterus after complete abortion without transcervical curettage.
Obstetrics & Gynecology Science 2014;57(2):176-179
We diagnosed a 2-cm, large cystic adenomyoma after complete abortion without transcervical curettage, based on symptoms of dysmenorrhea, time of onset, and sonographic findings. The cystic adenomyoma was treated successfully with laparoscopic mass excision.
Adenomyoma*
;
Curettage*
;
Dysmenorrhea
;
Female
;
Laparoscopy
;
Ultrasonography
;
Uterus*
4.Differential diagnosis of pelvic masses by gray-scale sonography
Young Soo HA ; Jeon Kee LEE ; Joong Suk LEE ; Han Yong CHOI ; Bong Kee KIM
Journal of the Korean Radiological Society 1984;20(2):346-354
Ultrasongraphy is a safe, noninvasive examination which should be the first procedure in the workup of apatient with a definite or suspected pelvic masses. The diagnostic schemes were derived from correlating the sonographic features with histomorphology in 230 surgically proven pelvic masses. Besides separating pelvic masses into the conventional categories of cystic, complex and solid, grayscale sonographic features of a pelvic mass canbe used to subcategorized these masses into a more useful differential diagnosis. The results are as follows; 1.The most characteristic finding of uterine myoma was midly to mederately echogenic uterine enlargement (90.7%)with a lobulated uterine margin (62.8%), and often less echogenic than the normal uterine echoes. 2. The typical ultrasonographic finding of H-mole was uterine enlargement with multiple small vesicular patterns of intrauterincontents(93%). 3. The most frequent finding of cystic teratoma was cystic mass with echogenic foci(48%), but the echogenic appearance of the lesions was extremely variable. 4. The ultrasonographic findings of ectopic pregnancywere adnexal mass(comlex or cystic), decidual proliferation of the uterus, enlargement of uterine size, fluid incul-de-sac, deveiation of uterus by adnexal mass, and psuedointrauterine appearance. 5. Ultrasound provided information leading to the correct diagnosis in 57% of cases, contributory data in 21.3%, and non-specific information in 10.4%. Errors occured in 3.9% and false-negative in 7.4%.
Diagnosis
;
Diagnosis, Differential
;
Leiomyoma
;
Teratoma
;
Ultrasonography
;
Uterus
5.CT findings of the hydatidiform mole
Kyung Sik CHO ; Shi Joon YOO ; June Hong CHANG
Journal of the Korean Radiological Society 1984;20(3):660-664
Even though ultrasonography is a primary tool for evaluation of gynecological pelvic mass, CT can be helpful when ultrasonography is suboptimal either because of abundant intestinal gas or marked obesity. Authors experienced 3 cases of hydatidiform mole demonstrated by CT. The findings of hydatidiform mole are enlargement of uterus, low density in the uterine cavity, irregular soft tissue mass with small multiple cysts, and strong contrast enhancement of the soft tissue mass within the uterine cavity. CT can be a useful diagnostic tool for differentiation of hydatidiform mole from choriocarcioma because of good visualization of uterine wall and pelvic structures.
Female
;
Hydatidiform Mole
;
Obesity
;
Pregnancy
;
Ultrasonography
;
Uterus
6.High-intensity Focused Ultrasound in the Solid Tumor Treatment.
Journal of the Korean Medical Association 2006;49(8):707-716
High intensity focused ultrasound (HIFU) is a technique that was first introduced in the 1940s as a potential method of destroying selective regions within the brain to aid neurobehavioral studies. A beam of ultrasound can be delivered to a targeted focus at a distance from its source, and if a sufficient amount of energy is concentrated in the focus, the cells lying within this focal volume are selectively killed. This is, therefore, a non-invasive method of producing selective and "trackless" tissue destruction in deep-seated targets in the body without damage to the overlying tissues. Although it had not been in clinical use for a long time, HIFU is now widely used as a non-invasive treatment method for malignant tumors of the liver, kidney, breast, bone, uterus and pancreas, as well as for the relief of chronic pain of malignant origin. Further improvement of technology and imaging of HIFU in the near future will make it one of the most important tools in the treatment of solid tumors, further expanding its clinical applications.
Brain
;
Breast
;
Chronic Pain
;
Deception
;
Kidney
;
Liver
;
Pancreas
;
Ultrasonography*
;
Uterus
7.Xanthogranulomatous oophoritis: a case report.
Ik YANG ; Young Tae KO ; Dong Ho LEE ; Jae Hoon LIM ; Woo Suk CHOI
Journal of the Korean Radiological Society 1992;28(1):146-148
A case of xanthogranulomatous oophoritis is presented in a patient who had a 3-month history of intrapelvic mass protruding into the vagina. The sonographic findings are a well defined mass shadowing lower echogenicity than the echo of the uterus at the posteosuperior aspect of the uterus. The CT findings are an enhancing solid mass with central necrosis containing a multiseptated cystic component.
Female
;
Humans
;
Necrosis
;
Oophoritis*
;
Shadowing (Histology)
;
Ultrasonography
;
Uterus
;
Vagina
8.Ultrasonographic findings of uterine myoma
Jong Beum LEE ; Kie Hwan KIM ; Soo Yil CHIN
Journal of the Korean Radiological Society 1984;20(2):339-345
Utrerine myoma is one of the most commonly encountered gynecologic problem in daily ultrasonographic practice,and is one of the few conditions with which specific histologic diagnosis is possible by ultrasonography in selected patients as well. We recently analysed ultrasonograms of 132 cases of uterine myoma and 31 cases thatshowed similar ultrasonographic findings of myoma, histopathologically verified in both cases. The results were as follows. 1. The diagnostic accuracy by ultrasonography was 93%. 2. The most common ultrasonographic findings of uterine myoma were nodular enlargement of uterus and irregular internal echo texture changes. 3. It was not possible to differentiate the various kinds of secondary degeneration by ultrasonography, except for calcification and cystic change. 4. It was usually unable to differentiate solitary from multiple myoma, and subserosal,interstitial and submucosal types from each other by ultrasonographic findings alone, except for the usual cases of exophytically growing subserosal mass. 5. The most frequent disease that is hard to differentiate from small uterine myoma was adenomyosis, and therefore it is considered necessary to include the adenomyosis in differential diagnosis in the diagnosis of myoma causing moderatelly enlarged uterus.
Adenomyosis
;
Diagnosis
;
Diagnosis, Differential
;
Humans
;
Leiomyoma
;
Myoma
;
Ultrasonography
;
Uterus
9.Uterine artery Doppler velocimetry in the prediction of adverse obstetric outcomes in unexplained MSAFP elevations.
Jae Eun CHUNG ; Jae Sung CHO ; Sung Shik HAN ; Yong Won PARK ; Jae Wook KIM
Yonsei Medical Journal 2000;41(1):17-21
Unexplained maternal serum-fetoprotein (MSAFP) elevation has been known to be associated with adverse obstetric outcomes, however it is not sufficiently useful as a screening test. This study was undertaken to determine whether uterine artery Doppler velocimetry could define a subset of patients with an elevated MSAFP level in whom complications of pregnancy might develop. The subjects included 179 women between 26 and 28 weeks' gestation with MSAFP > or = 2.5 multiples of the median, in whom either the presence of an early diastolic notch or a resistance index 0.6 was considered as an abnormal Doppler velocimetry finding. Those subjects who displayed abnormal Doppler velocimetry findings showed an increased incidence of preeclampsia, preterm birth, IUGR, and IUFD compared to those subjects with only elevated MSAFP (p < 0.05). No differences were observed in the incidence of LBW. Positive predictive values of adverse obstetric outcomes were significantly higher in the group having both elevated MSAFP and abnormal Doppler velocimetry compared to the group with only elevated MSAFP (p < 0.05). Uterine artery Doppler velocimetry in the second trimester can improve the value of unexplained MSAFP elevation in the prediction of adverse obstetric outcomes.
Adult
;
Arteries/ultrasonography
;
Female
;
Forecasting
;
Human
;
Incidence
;
Pregnancy/blood*
;
Pregnancy Complications*/epidemiology
;
Uterus/ultrasonography*
;
Uterus/blood supply*
;
alpha-Fetoproteins/analysis*
10.Radiologic Findings of Ovarian Borderline Malignancy.
Journal of the Korean Radiological Society 1998;39(3):551-556
PURPOSE: Ovarian epithelial tumors of borderline malignancy belong to a disease entity distnct from that ofbenign and overt malignant tumors, and the younger age of patients and earlier stage at diagnosis compared withinvasive ovarian cancers makes conservative surgery an important issue. The purpose of this study was to evaluatewhether there are any characteristic radiologic findings to suggest the presence of these tumors. MATERIALS AND METHODS: In 20 pathologically proven tumors of ovarian borderline malignancy, the findings of ultrasonography (n= 17) (with color Doppler ultrasonography in two cases), computed tomography (n = 8), or magnetic resonanceimaging (n = 6) were compared with pathologic findings and, were retrospectively reviewed and analyzed. Imageswere evaluated for size, loculation, thickness and regularity of wall and septum, endocystic vegetation, solidportion, calcification, local invasion and distant metastasis. RESULTS: Among 20 unilateral tumors, 18 weremucinous and two were serous; 19 (95%) were at stage I, and one was at stage II (local invasion of uterus, leftpara-aortic lymphadenopathy, and malignant ascites). Tumor size ranged from 10 - 40 cm in the largest diameter(mean, 21 cm). Radiologic findings of thick, irregular wall or septum were notified in 14 tumors (70%), endocysticvegetation in 12 (60%), enhancing solid portion in 11 (55%), and calcification in two (10%). Of 18 mucinoustumors, 17 (94%) were multilocular. One serous tumor was unilocular and one was multilocular. Color Dopplerultrasonography of two mucinous tumors revealed blood flow signals in the wall, septum, solid portion orendocystic vegetation, and resistive indices were 0.5 and 0.4, respectively. CONCLUSION: When ovarian tumors arepresent - especially in young females and at a lower stage -, radiologic findings of a thick, irregular wall orseptum, endocystic vegetation, and a small enhanced solid component, for example, indicate the possibility ofovarian epithelial tumors of borderline malignancy.
Diagnosis
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Female
;
Humans
;
Lymphatic Diseases
;
Mucins
;
Neoplasm Metastasis
;
Ovarian Neoplasms
;
Retrospective Studies
;
Ultrasonography
;
Ultrasonography, Doppler, Color
;
Uterus