Analyzing ultrasonic manifestations of endometrial polypoid adenomyoma based on international endometrial tumor analysis(IETA)terminology
10.13929/j.issn.1003-3289.2025.02.024
- VernacularTitle:基于国际子宫内膜肿瘤分析(IETA)术语分析子宫内膜息肉样腺肌瘤超声表现
- Author:
Niya WEI
1
;
Xiaokun LI
1
;
Yue WANG
1
Author Information
1. 北京大学深圳医院超声影像科,广东 深圳 518115
- Publication Type:Journal Article
- Keywords:
endometrial neoplasms;
adenomyoma;
ultrasonography;
international endometrial tumor analysis
- From:
Chinese Journal of Medical Imaging Technology
2025;41(2):295-299
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze ultrasonic manifestations of endometrial polypoid adenomyoma based on international endometrial tumor analysis(IETA)terminology.Methods Totally 88 patients with endometrial polypoid adenomyoma confirmed by surgery and pathology were retrospectively enrolled,and the ultrasonic manifestations of lesions were analyzed based on IETA terminology.Results The endometrial thickness in 88 cases of endometrial polypoid adenomyoma ranged from 2 to 21 mm,with an average thickness of(9.1±5.0)mm.A total of 93 lesions were detected,72 in uterine cavity and 21 in cervix.Among 93 lesions,homogeneous hyperecho without cyst was observed in 11 lesions with the maximum diameter of(12.3±4.4)mm,homogeneous echo with small cyst was detected in 7 lesions with the maximum diameter of(19.5±8.9)mm,heterogeneous echo without cyst was observed in 18 lesions,heterogeneous echo with regular cysts was found in 32 lesions with the maximum diameter of(25.8±11.2)mm,heterogeneous echo with irregular cysts was found in 21 lesions with the maximum diameter of(29.4±17.5)mm,and the rest 4 were cystic lesions with the maximum diameter of(53.5±19.1)mm.Blood supply patterns of these lesions were mainly unbranched,multi-vessel co-origin and dispersed origin,and the blood flow scores were 1-3 points in most lesions.Conclusion Endometrial polypoid adenomyoma initially presented as uniform hyperechoic mass with uterine cavity.With progressively enlargement,the lesions might develope cystic formations,primarily consisting of multiple small cysts,which could become enlarged,irregular and hypoechoic,and the lesions became heterogeneous and entrapped in cervix.Meanwhile,predominant cystic pattern might be observed in a few lesions.
