Us Evaluation of Uterine Cervical Lesions

Abstract

US is currently the most widely accepted primary and valuable imaging modality for female genital organs. But it may be overlooked easily to evaluate the uterine cervix. The purpose of this presentation is to identify the full spectrum of benign to malignant lesions in the uterine cervix and describe US features and possible value for differentiation of these lesions in the uterine cervix. We reviewed the ultrasonographic findings of normal uterine cervix and pathologic uterine cervical lesions. In this presentation, we describe uterine cervical lesions: malignant uterine cervical lesions (primary carcinoma, small cell carcinoma, carcinosarcoma and metastasis), benign uterine cervical lesions (leiomyoma, polyp, pregnancy and abortion, short cervix and funneling), multilocular cystic uterine cervical lesions (malignant: adenocarcinoma, adenoma malignum, lymphoma / benign: cervicitis, endocervical hyperplasia, nabothian cyst, tunnel cluster, adenofibroma). We also describe normal anatomy and imaging features of uterine cervix (normal sonographic findings, normal vascular anatomy, normal Doppler and pulsed US). The major teaching points of this exhibit are:1. US is a useful for evaluation of uterine cervical lesions.2. Although definite radiologic differentiation malignant lesions from benign lesions is not clearly possible, we suggest that familiarity with the clinical setting and imaging feature of uterine cervical lesions will facilitate prompt and accurate diagnosis and treatment.