Re: Looking for endometrial polyps
From: art fougner, md (evsono@pipeline.com)
Wed Jun 4 18:08:35 2003
Eric
one caveat - some polyps are not echogenic and may be somewhat flat -
thus an endometrium measuring 5 mm or even less may still harbor a
polyp. Interestingly, I have found that in cycling patients, the late
proliferative triple layered endometrium highlights polyps more easily.
art
At Tue, 3 Jun 2003, Dr. Eric Deigan wrote:
>
>Another technique to help look for polyps in the endometrium is to use Color
>Doppler, and particularly Power Doppler, at low sensitivity settings. For
>most of the menstrual cycle blood vessels are not visible going any
>significant distance into the endometrium, and particularly if there is one
>feeding vessel seen the diagnosis of a polyp is very likely. It is also
>very helpful to scan the endometrium immediately folllowing the end of a
>period in someone who is having cycles, since at that time the normal
>endometrium is relatively hypoechogenic and the more echogenic polyps stand
>out much more easily.
>
>--
>Eric Deigan, M.D., FACOG, FRCSC
>Carolina Perinatal Associates, PLLC
>Cary, NC, USA
>
>------------------------------
>
>------------------------------
>Date: Mon, 02 Jun 2003 09:31:54 -0500
>------------------------------
>------------------------------
>From: "Edward Lyons" <lyonsea@hotmail.com>
>------------------------------
>------------------------------
>To: ultrasound@obgyn.net
>Subject: Re: endometrial polyp- pic2
>Message-ID: <Law12-F56l2BrdSTmMo0002fb63@hotmail.com>
>Mime-Version: 1.0
>Content-Type: text/plain; format=flowed
>
>Another way to "see" a polyp is to watch it move in response to myometrial
>contractions. Just observe the cavity for 30-60 seconds with the endovaginal
>probe in a mid-sagittal plane and you may see the polyp move with the
>contractions. Not seen in everyone but when present it is dramatic. We use
>this all the time. If you can record the activity with a PACS system it is
>EVEN MORE dyamatic to play it back at faster than normal speed.
>
>E.A. Lyons MD
>Professor of Radiology, Obstetrics/Gynecology & Anatomy
>Health Sciences Center
>Winnipeg, Manitoba,
>
>----Original Message Follows----
>From: anabil@yallam.com (Ahmed Nabil EISSA)
>Reply-To: ultrasound@obgyn.net
>To: Multiple recipients of list ULTRASOUND
><ultrasound@mail.medispecialty.com>
>Subject: Re: endometrial polyp- pic2
>Date: Mon, 2 Jun 2003 06:41:08 -0500
>
>At Tue, 10 Dec 2002, Tania Griffiths wrote:
> >
> >hi
> >Try this technique, it is useful in deciding between endometrial
> >hyperplasia and polyps if saline-hysterosonography is not available.
> >
> >Drop your persistence to zero and using a bi-manual palpation, watch the
> >endometrium slide on both sides of the polyp. With hyperplasia there is
> >only one sliding surface.
> >
> >Regards
> >Tania
> >
> >--
> >Tania Griffiths
> >Lecturer
> >Department of Medical Imaging and Radiation Sciences
> >Faculty of Medicine, Nursing & Health Sciences
> >Monash University
> >Clayton VIC 3800
> >AUSTRALIA
> >Phone +61 3 9905 9270
> >Fax +61 3 9905 8149
> >Email: Tania.Griffiths@med.monash.edu.au
> >Web page: http://www.med.monash.edu.au/radiography
> >
>
--
art fougner, md
ich bin ein New Yorker
