Clinical predictors in the natural history of uterine leiomyoma: preliminary study

This study was conducted to examine the correlation between uterine vascularity and natural history of uterine leiomyoma. Seventy women with leiomyoma participated in this study. Measurements of uterine and leiomyoma volume, as well as blood flow characteristics of the main uterine artery and leiomy...

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Bibliographic Details
Published in:Journal of ultrasound in medicine 1998-01, Vol.17 (1), p.17-20
Main Authors: Tsuda, H, Kawabata, M, Nakamoto, O, Yamamoto, K
Format: Article
Language:English
Subjects:
Adult
Arteries - diagnostic imaging
Biological and medical sciences
Blood vessels
Color image processing
Diseases
Doppler effect
Female
Genital system. Mammary gland
Gynecology
Hemodynamics
Humans
Investigative techniques, diagnostic techniques (general aspects)
Leiomyoma - blood supply
Leiomyoma - diagnostic imaging
Medical imaging
Medical sciences
Middle Aged
Oncology
Pilot Projects
Pulsatile Flow
Ultrasonic investigative techniques
Ultrasonography
Uterine Neoplasms - blood supply
Uterine Neoplasms - diagnostic imaging
Uterus - blood supply
Volume measurement
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Summary:This study was conducted to examine the correlation between uterine vascularity and natural history of uterine leiomyoma. Seventy women with leiomyoma participated in this study. Measurements of uterine and leiomyoma volume, as well as blood flow characteristics of the main uterine artery and leiomyoma arteries, were made every 3 months for 1 year. Leiomyoma arteries could be detected in 52 (51.5%) of 101 leiomyomas. Leiomyoma volume increased in 24 (46.2%) of 52 leiomyomas with leiomyoma artery. However, the leiomyoma volume increased in only three (6.1%) of 49 leiomyomas without leiomyoma artery. No difference was found between the pulsatility index of the leiomyoma artery in the group with increased size and in the group with stable size. This study shows the vascularity of leiomyoma to be useful as a predictor of leiomyoma growth.
ISSN:0278-4297
1550-9613
DOI:10.7863/jum.1998.17.1.17