Journal of Korean Society of Ultrasound in Medicine 2009;28(4): 213-217.
Color Doppler Ultrasonographic Findings of Vascular Leiomyoma: Pathologic Correlation.
Ji Young Ko, Sung Hye Koh, Soo Kee Min, A Lam Choi, Kyung Mi Jang, Yul Lee, Kwanseop Lee, Sam Soo Kim, Hyun Lee, Jeong Hee Sohn
1Department of Radiology, Hallym University Sacred Heart Hospital, Korea.
2Department of Pathology, Hallym University Sacred Heart Hospital, Korea.
3Department of Radiology, Kangwon National University College of Medicine, Korea.
  Published online: December 1, 2009.
PURPOSE: To evaluate the distribution of color flow signals on color Doppler ultrasonography of vascular leiomyomas and to correlate them with pathologic findings. MATERIALS AND METHODS: We retrospectively analyzed color Doppler ultrasonographic images and pathologic slides of six vascular leiomyomas. We classified the patterns of distribution of color flow signals into localized compact cluster types and non-cluster types, and the pathologic findings into three subtypes: solid, venous and cavernous. RESULTS: All cases showed well-defined homogenous hypoechoic subcutaneous masses on gray-scale ultrasonography. Three cases showed localized compact cluster types on color Doppler ultrasonography, one in each subtype (solid, venous and cavernous). For the three non-cluster types, again there was on in each subtype. In addition, on pathologic analysis the zone of the localized compact cluster of color flow signals coincided with a cluster of larger, vascular caliber masses. CONCLUSIONS: Localized compact clusters of color flow signals on color Doppler ultrasonography were seen in 50% of our cases and correlated with a cluster of larger vascular caliber in the mass. But the pattern of distribution of color flows didn't show a correlation with pathologic type.
Keywords: Vascular leiomyoma; color Doppler; Ultrasonography; Soft tissue neoplasm
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