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학술저널
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박가은 (가톨릭의대 서울성모병원 영상의학과) 나성은 (가톨릭대학교) 오순남 (가톨릭대학교) 이아원 (가톨릭대학교) 이근호 (가톨릭대학교) 김미란 (가톨릭대학교)
저널정보
대한초음파의학회 ULTRASONOGRAPHY ULTRASONOGRAPHY Vol.35 No.2
발행연도
2016.1
수록면
124 - 130 (7page)

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Purpose: The goal of this study was to perform a retrospective analysis of the ultrasonographicfindings associated with low-grade endometrial stromal sarcoma. Methods: Ten pathologically confirmed cases of low-grade endometrial stromal sarcoma atour institution from January 2007 to April 2014 were retrospectively reviewed. All patientsunderwent a preoperative transvaginal ultrasound. Two radiologists came to a consensusregarding the location, size, margin, and echogenicity of the tumor, as well as the presence ofintratumoral cystic degeneration and its extent and configuration. Results: Low-grade endometrial stromal sarcoma manifested as an intramural mass protrudinginto the endometrial cavity (n=6) or as a purely intramural mass (n=4). The maximal diameterof the lesion ranged from 4 to 9.1 cm (mean, 6.2 cm). The imaging features of low-gradeendometrial stromal sarcoma were variable: six cases involved predominantly solid massescontaining cystic degeneration, one was a predominantly unilocular cystic mass, two were illdefinedinfiltrative solid masses, and one was a well-defined solid mass. Among the seven caseswith internal cystic degeneration, five patients showed a multiseptated cystic area or a cysticarea with multiple small clusters, while a unilocular cystic area within the tumor was found intwo patients. Conclusion: Low-grade endometrial stromal sarcoma is associated with variable ultrasonographicfindings with regard to the location, margin, and configuration of the lesion. Multiseptated cysticareas and multiple small areas of cystic degeneration are common.

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