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ID 49044
JaLCDOI
FullText URL
66_6_475.pdf 1.64 MB
Author
Hase, Soichiro
Mitsumori, Akihito
Inai, Ryota
Takemoto, Mitsuhiro
Matsubara, Shinichiro
Akamatsu, Nobuo
Fujisawa, Masayoshi
Kanazawa, Susumu Kaken ID publons
Abstract
The purpose of this study is to evaluate the diagnostic usefulness of magnetic resonance imaging (MRI) characteristics of endometrial polyps in order to differentiate them from other endometrial lesions. MRI was retrospectively reviewed in 40 patients with pathologically proven endometrial polyps. Special attention was paid to the sizes, shapes, margins, internal structures, signal intensities, and post-contrast enhancement patterns. A central fibrous core, intratumoral cysts, and hemorrhage were seen in 30 (75%), 22 (55%), and 14 (35%) patients, respectively. The predominant signal intensity of the lesions showed iso-to slightly low signal intensity relative to the endometrium on T2-weighted images in 36 (90%), low signal intensity on diffusion-weighted images in 32 (80%), and strong or moderate enhancement on enhanced T1-weighted images in 28 patients (70%), respectively. In 32 (80%) patients, the endometrial polyps showed global or partial early enhancement. On dynamic study, rapid enhancement with a persistent strong enhancement pattern was seen in 17 (42.5%) and a gradually increasing enhancement pattern was seen in 17 patients (42.5%). These MRI features can be helpful to distinguish the endometrial polyps from various other endometrial lesions.
Keywords
endometrial polyp
central fibrous core
intratumoral cyst
magnetic resonance imaging (MRI)
uterus
Amo Type
Original Article
Publication Title
Acta Medica Okayama
Published Date
2012-12
Volume
volume66
Issue
issue6
Publisher
Okayama University Medical School
Start Page
475
End Page
485
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
English
Copyright Holders
CopyrightⒸ 2012 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT
Related Url
http://ousar.lib.okayama-u.ac.jp/metadata/49723