title: Ultrasound diagnosis of uterine myomas.
abstract: Myomas represent a large part of benign gynecological pathology, widely spread in fertile female population. First step to diagnose fibroids is ultrasound (US) that can be 2-dimensional (2D), 3-dimensional (3D), Color Doppler (CD) and sonohysterography (SHG). This review develops according to MUSA's sonographic features (Morphological Uterus Sonographic Assessment). One of the main topic of interest for ultrasonographer today is endo/myometrial junctional zone (JZ), because it may be useful to discern a diagnosis of myoma and adenomyosis. Another important aspect of ultrasound is the analysis of vascularization in front of a uterine lesion. Indeed, vascular pattern can be used to make differential diagnosis between myoma-adenomyosis and leiomyosarcomas. Myomas should be described accurately according to sonographic guidelines. Sonographic features correlated with symptoms should guide an appropriate surgical or medical treatment.
authors.affiliation: II Department of Obstetrics and Gynecology, Medical School, University "Aldo Moro", Bari, Italy - fabianafascilla78@libero.it.
authors.forename: Fabiana D
authors.initials: FD
authors.lastname: Fascilla
authors.forename: Paola
authors.initials: P
authors.lastname: Cramarossa
authors.forename: Rossella
authors.initials: R
authors.lastname: Cannone
authors.forename: Claudiana
authors.initials: C
authors.lastname: Olivieri
authors.forename: Antonella
authors.initials: A
authors.lastname: Vimercati
authors.forename: Caterina
authors.initials: C
authors.lastname: Exacoustos
mesh_terms: D062788:Adenomyosis / Q000000981:diagnostic imaging / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D007889:Leiomyoma / Q000000981:diagnostic imaging* / Q000473:pathology; D007890:Leiomyosarcoma / Q000000981:diagnostic imaging / Q000473:pathology; D014463:Ultrasonography / Q000379:methods*; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology