Re: Looking for endometrial polyps
From: art fougner, md (evsono@pipeline.com)
Thu Jun 5 07:44:42 2003
Terry
i'll keep an eye out for the next one.
art
At Wed, 4 Jun 2003, Terry J DuBose wrote:
>
>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
>>
>
--
art fougner, md
ich bin ein New Yorker
