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.
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