Teaching you to read gynecological ultrasound report forms

The gynecologic ultrasound report includes the examiner’s personal information, ultrasound images, ultrasound findings, and diagnostic hints. Common diagnostic hints: uterine fibroids, uterine myometriosis, endometrial cancer, cystic ovarian tumors, endometrial polyps, etc. 1.Uterine interstitial myoma: ultrasound often shows an increase in uterine volume and deformation, with evenly distributed, small, scattered faint dotted echogenic or echo-enhanced areas, and a vague demarcation with normal uterine myometrial echogenicity. It is a relatively common benign tumor. If its diameter is <5cm and there is no pressure on the surrounding tissues, it can be reviewed every six months or once a year for observation; if its diameter is ≥5cm, accompanied by rapid enlargement within a short period of time, long menstrual period, heavy menstrual flow, causing anemia, or accompanied by pressure symptoms such as frequent urination and change in stool characteristics, minimally invasive laparoscopic surgery, negative surgery or open abdominal resection can be performed. Surgery. 2, uterine adenopathy: ultrasound often appears uniform enlargement or limited enlargement of the uterus, the surface is not smooth, the edges are more clear, the muscle layer is thickened, the internal echogenicity is not uniform, etc., can be combined with ultrasound, serum CA125 level, hysteroscopy and other tests to clarify the diagnosis. If the examinee is near menopause, unwilling to accept surgical treatment or symptoms recur after conservative surgical treatment, medication such as progesterone or placement of the Manned Ring can be performed according to medical advice; if the examinee is young and has fertility requirements, medication is mostly chosen to encourage early pregnancy; if medication is ineffective or long-term severe dysmenorrhea is present, conservative surgery such as hysteroscopic endometrial and myomectomy or hysterectomy is recommended. Radical surgery of hysteroscopy. 3.Endometrial cancer: ultrasound often shows enlarged uterus, irregular shape, smooth surface, irregular thickening of endometrium, blurred edge and uneven internal echogenicity. If ultrasound can clearly show the lesion, it is mostly in the middle and late stage, therefore, combined surgery and radiotherapy and chemotherapy should be performed. If surgery is not tolerated, radiation therapy can be administered, and a large amount of progestin drugs can only be used as adjuvant therapy. In life, you should not eat spicy and stimulating raw and cold food, and you should have a light diet. 4. Cystic ovarian tumor: Ultrasound often shows an echogenic area with round or oval shape on one or both sides of the uterus, with basically regular shape, clear border, enhanced posterior wall echogenicity and smooth inner wall. Most of these tumors are benign. If they are small in size, regular review and follow-up can be done; if they are large in size, surgical treatment such as cystectomy can be performed. 5.Endometrial polyp: ultrasound often shows disappearance of uterine cavity line, inconspicuous uterine enlargement, slightly strong echogenic zone in uterine cavity, visible hypoechoic zone inside, clear boundary, etc. If the polyp is within 1cm, regular follow-up can be observed; if it is more than 1cm and there is excessive menstruation, prolonged menstruation or irregular vaginal bleeding, it is recommended to undergo hysteroscopic excision surgery, which usually does not affect pregnancy.