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. jinhyeinj@live.co.kr
2Department of Pathology, Hallym University Sacred Heart Hospital, Korea.
3Department of Radiology, Kangwon National University College of Medicine, Korea.
  Published online: December 1, 2009.
ABSTRACT
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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