Multiple Fibroid Uterus in 3D Scan
Uterine fibroids are the commonest female genital tract tumor, occurring in 25 to 30 % of the female population.
- It arises from the smooth muscle layer of the uterus and the majority of the tumors are corporeal in origin.
- Cervical fibroids are rare.
- The tumor location is variable.
- Interstitial, submucosal, subserosal and broad ligamentary are common.
- The intracavitary myomas are associated with severe symptoms:
3. Intermenstrual spotting.
5. Pregnancy loss or complications.
3D and 4D ultrasound helps the clinician to study the morphology, topography, number and its relations to the vascular supply of the uterus and the endometrial cavity to plan its approach for surgical management.
The addition of color flow mapping and Doppler signal study can define those cases with malignant transformations. A resistive index (RI) below 0.4 is a marker of malignant potential.
3D transvaginal sonography demonstrating a well-defined, rounded, hemispheric masses, arising from the myometrium.
3D ultrasound assessment of uterine or ovarian tumors provides the clinician with a VOCAL facility which enables the calculation of the tumor volume by tracing its outer contour in a step- wise pattern.
Gynecologic 3D ultrasound examination of uterine masses is a helpful tool for the assessment of:
1- The number of masses .
2- The nature of masses (myoma versus adenomyosis).
3- The topography of masses (corporeal, cervical, fundal).
4- The distribution of masses (anterior, posterior, lateral, interstitial, subserosal, submucosal or intracavitary).
5- The size of masses.
6- The relation of the masses to the endometrial cavity or broad ligaments.
7- The vascular pattern and flow mapping as a predictor of cell transformation or degeneration.