Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 14 , ISSUE 1 ( January-February, 2022 ) > List of Articles

Original Article

Adenomyosis or Fibroid? Making the Right Diagnosis

Ashwini L Vishalakshi

Keywords : Adenomyosis, Fibroid, Impedence indices, Power Doppler, Prospective observation study

Citation Information : Vishalakshi AL. Adenomyosis or Fibroid? Making the Right Diagnosis. J South Asian Feder Obs Gynae 2022; 14 (1):14-16.

DOI: 10.5005/jp-journals-10006-2004

License: CC BY-NC 4.0

Published Online: 13-04-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Background: Differentiating adenomyomas from fibroids may be challenging at times when we use routine morphological criteria. Using Doppler in addition to routine B mode ultrasound can help in differentiating adenomyomas from fibroid uterus. Materials and methods: This is a prospective study done on patients diagnosed with fibroid or adenomyosis who were planned for hysterectomy. Routine ultrasound with Power Doppler was done for all patients and the blood flow impedance between the two was compared. Results: There was a significant difference between the blood flow in adenomyosis and fibroid. Fibroids had peripherally distributed vascularity with low impedance and adenomyosis had intralesional vascularity with high resistance flow. Conclusion: Use of Doppler in addition to morphological features on routine ultrasound helps to differentiate the uterine lesions like fibroid and adenomyosis.


PDF Share
  1. Ya-Min C, Yi C, Yu-Yun H, et al. Preoperative three-dimensional power Doppler ultrasonographic evaluation of adenomyosis and uterine leiomyoma. Dig J Nanomater Biostruct 2012;7(2):621–627. https://doi.org/10.1016/j.mefs.2015.07.004.
  2. Kara Bozkurt D, Bozkurt M, Cil AS, et al. Concomitant use of transvaginal sonography and Doppler indices improve diagnosis of adenomyosis. J Obstet Gynaecol 2017;37(7):888–895. DOI: 10.1080/01443615.2016.1256952.
  3. Chiang CH, Chang MY, Hsu JJ, et al. Tumour vascular pattern and blood flow impedance in the differential diagnosis of leiomyoma and adenomyosis by colour doppler sonography. J Assist Reprod Genet 1999;16(5):268–275. DOI: 10.1023/a:1020371614069.
  4. Elkattan E, Kamel R, Elghazaly H, et al. Can three-dimensional (3D) power Doppler and uterine artery Doppler differentiate between fibroids and adenomyomas? Middle East Fertil Soc J 2016;21(1):46–51. DOI: 10.1016/j.mefs.2015.07.004.
  5. Sharma K, Bora MK, Venkatesh BP, et al. Role of 3D ultrasound and Doppler in differentiating clinically suspected cases of leiomyoma and adenomyosis of uterus. J Clin Diagn Res 2015;9(4):8–12. DOI: 10.7860/JCDR/2015/12240.5846.
  6. Sladkevicius P, Valentin L, Marsál K. Transvaginal Doppler examination of uteri with myomas. J Clin Ultrasound 1996;24(3):135–140. DOI: 10.1002/(SICI)1097-0096(199603)24:3<135::AID-JCU5>3.0.CO;2-I.
  7. Sladkevicius P, Valentin L, Marsal K. Transvaginal Doppler examination for the differential diagnosis of solid pelvic tumours. J Ultrasound Med 1995;14(5):377–380. DOI: 10.7863/jum.1995.14.5.377.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.