04 u xơ tử cung không điển hình hình ảnh siêu âm

U XOTU CUNG KHONG BIEN HI

HINH ANH SIEU AM

THS, BS HATO NGUYEN

HOLNGH SIEU AM TOAN QUOC LAN THU shu\Ñ AA a4

THEO NATIONAL CONfGl RESOSF VIETNAMESE SOCIETY OF ULTRASOUNIDN MEDICINE ITI A

Hal gh ten bgtne yaaa — 20104 0 ma 4

Pl

U COTRONTU CUNG

(Uterine Smooth Muscle Tumors USMT)

VCO TRON DI HN lì va

LÀNMTÍM Meni evar

RUT Voriont Type of Leiomyosarcoma

ROU

cJghữg | | \ ting hạt ty phản bdo (mitotically active leiomyoma},
thodiho ' lưt0 sia bao (cello leiomyoma}
+ |Jt#flử lipoleiomyoma),

(eet * Ueo'tron ie pia oyene

Leonang Vcr trom khong ch tiém ning ac tinh (smooth muscle

tumors of uncertain malignant potenti! -STUMP)

* Duttram VC. Relter RC. Uterine lelomyonvata etlogy symptomatology, and managennant. rt 1i DỊ HÁN 47

+ Berkowitz RS, Barbieri RL, Ryan KJ, Kistner RW. Kistne's gynecology: principles and practice, bth ed. St. Lous, MO: Mosby, 995

NOIDUNG

my uniar
CTSA

+ CACTHE TRUNG GAN

UXOTU CUNG

Leiomyoma/Fibroma

+ UXTC a co trom an tinh thug pp nh phy not tin sudt we

tnh 40K phy ntl sinh snva 70% phy nf mn kin,

+U ting trading phy thud theo Estrogen sau man kn thutng thui tiến,
+75¥khGngbigu hig tri ching km sng tr

tt lên quan dén mdi me te cung ob thé pay xudthuyét

cung bt hung hog him mud vO sinh

“\ ling higu ing chodhnd

Statet0 ole ads ostf mt reviei w 10, n 7 Sy 80-1510

UXO TUCUNG

LolomyomalFibroma

HNH ANH HEU AM 20

+ Khoi dé hinh tr hogc bau
duc xt phat te cot cung

+ Phamakénm dng nha

(0,vO bao: ranh pdt 0 vot co

tecungbinh thrbng

UXOTU-CUNG

LeiomyomalFibroma

SIEU AM DOPPLER MAU

+Dign hinhsphn 6 ngolvi
+U xo hoai tl hod uoan cb thé

lhiny tú lùng thả

+ Tang sinh mach mutrundg tém

cb thé gol sarcoma,

I0 THEO FIGO

0ÚIIÍ lú0I UNTC cb cuntrgong linTgC

(Submucosa N UTC <50% trong co TC

leiomyoma) FIGO2 UK5T0 tCrong2cr TC

UHUÚC He03 100% UXTC rong conhunigp wdc voi NMTC
Hod 100% UXT trong co nh king tp wc oi MMIC
(Others
leiomyoma) vahing nd du thanh ma

II pegs UXTC dui thanh mac voi 280% trocnogTC

|til t0; UXTC dot thanh mac vi< 0% trong co’ TC

lelomyom) #607 UTC dui thanh mg cb cong
#IG08 Und ngoi TCC dy ching rng.)

UTC dm xuyén thn OX: ig thi hin phn dui

H1 nim vibe ign than hn di thanh mae

CHAN DOAN PHAN BlET UO CO (UỐNG

VAUSCI BUONG TRUNG

UTC loa 7 theo FIG0: Co cudng mach mu

U XO'TUCUNGTHOAI HOA

Degenerated Leiomyomas

Mat sunt cung lin thanh, túi tôi Khong dl nén sb thodi hod

lam co hin anh siu Am bien diva gay kh Kh cho chén dog

* Thodibotdhd kn Haine degeneration

* Tho hod hy id degeneration
Th di hod can (Caleicationdegeneration

T h 4 Hod nang Cystic degeneration
T h di da (Red degeneration
Tl hodi h hod md Fatty degeneration

+ leo, Swart Hl, McCay Revcf ieleonwyona Vans, AR Am! Rone, 28 Octo 122,

* Sun$, Howto deena vein elonyosacoma fom lonyoma wih imaging, lagnItr imag, 2019 ct 000} 419494

U XOTVCUNG THOA! HOA

[0000| nT

Thoai hd thu knh (Hyaine degeneration 8W

Thodi hod nhy (Mid degeneration 1%

Thodi hod cand (Colcicationdegeneration ) Đụ

Thodi hod nang (Cystic degeneration) Mh

Todi hda do (Red degeneration 1

Thodi hod mo (Fatty degeneration) 1

+ Awl MC, Rew fuer flvold: aging of typ and atypical fates, varlants and
niles wth emphass on workup and FIGO cassia, 020 Juht7 2468-248,


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NOI DUNG

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