Re: Looking for endometrial polyps
From: Terry J DuBose (tjdubose@juno.com)
Wed Jun 4 19:16:15 2003
Dr. Fougner, this is interesting..."late proliferative triple layered
endometrium highlights polyps more easily." Any chance of you posting
representative images throughout the cycle?
Thanks, Terry J DuBose
Little Rock, Arkansas USA
On Wed, 4 Jun 2003 18:11:07 -0500 evsono@pipeline.com (art fougner, md)
writes:
> 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
>
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