Uterine fibroids B-ultrasound report

Sisters with uterine fibroids all have experience in B-ultrasound examinations, but when they hold a B-ultrasound report, they look confused. They understand the words on it, but they don’t know what they mean. Today, let’s take a quick look at what the B-ultrasound examination report means.

How to understand the ultrasound examination report of uterine fibroids?

Uterine fibroids classification

Uterine fibroids are divided into submucosal uterine fibroids, subserosal uterine fibroids and intramural uterine fibroids according to their location. Different types of uterine fibroids all begin to grow within the muscle wall. The treatment method is decided after comprehensive consideration of the patient's age, symptoms, uterine fibroid size, fertility status, and overall physical condition.

How to understand the ultrasound examination report of uterine fibroids?

What does B-ultrasound include?

Generally speaking, a complete B-ultrasound examination report should include the following contents: the location of the uterus, description of the uterus, size of the uterus; intramural conditions (location and size of uterine fibroids); description of blood conditions, endometrial conditions, uterine and ovarian conditions, and cervical and pelvic conditions. The final diagnosis was made by B-ultrasound.

The description of the size of the uterus on B-ultrasound is only for reference. The normal size of the uterus is: 7-8cm long; 5-6cm wide; 2-3cm thick. If the uterus is very small, such as the length, width, and thickness of the uterus are less than 5 cm, 4 cm, and 2 cm respectively, people will suspect "uterine hypoplasia". If there is uterine fibroids, adenomyosis, or poor uterine repair after childbirth, the uterus may become enlarged. Uterine fibroids are mostly hypoechoic, but may also appear as isoechoic or hyperechoic masses. Hypoechoic masses produced by the pseudoadventitia may sometimes be seen around isoechoic masses.

Ultrasound examination report describes an example: posterior uterus, clear outline, neat edges, normal shape, size 7.1cm*5.3cm*4.4cm, uneven echo between muscle walls, solid low-echo nodule measuring about 5.5*6.7cm on the anterior wall, clear boundary, no blood signal seen in CDFI; the intrauterine line is vertically centered, endometrium is clear, 0.7cm thick, and evenly echoed. The right ovary is 2.8cm*1.2cm in size, and the left ovary is 3.5cm*2.1cm in size; no abnormal echo was found in the bilateral adnexal areas. No scattered fluid shadows were seen in the pelvis.

Diagnosis suggestion: Uterine fibroids on the anterior uterine wall

From this report we can understand that the uterus is retroverted (the uterus is tilted backwards, close to the sacrum, and the uterus is retroverted); the size of the uterus is 7.1cm*5.3cm*4.4cm (the size of the uterus - length*width*thickness); the echo between the muscle walls is uneven, and a solid low-echo nodule measuring about 5.5*6.7cm is found on the anterior wall with clear boundaries (the uterine fibroids are located between the muscle walls of the anterior wall, measuring 5.5*6.7cm); the thickness of the endometrium is 0.7cm; the size of the right ovary is 2.8cm*1.2cm, and the size of the left ovary is 3.5cm*2.1cm (the size of the upper and lower uterus and ovaries - length*width, no abnormalities were found inside).

This report pertains only to cases of intramural uterine fibroids.

Description of submucosal uterine fibroids, such as: low-echo mass in the uterine cavity *periodontal *CM (great impact on menstruation);

Description of subserosal uterine fibroids, such as: a low-echo mass, protruding outward, about #*#CM in size, with the boundary still fading;

Description of adenomyosis, such as: the uterus is enlarged and spherical, the echogenicity of the myometrium is diffusely increased and uneven, small anechoic or hypoechoic areas are scattered within the myometrium, the myometrium is widely thickened, and the posterior wall is thickened significantly;

Description of uterine adenomyoma, such as: the anterior wall segment can be reached #*#CM slightly strong, the inner #*#CM strong echo is seen, and there is uneven echo in the uterine myometrium, with a bit of block-shaped strong echo or no echo area, and there is no ring-shaped low echo around it;

Description of chocolate cyst: For example, faint spots can be seen here. Uterine and ovarian endometrial cysts are mostly located behind the uterus, and concentrated spots can be seen in the cysts. (Incorporated with symptoms such as dysmenorrhea).

Finally, naturally sisters do not need to make medical diagnosis based on B-ultrasound reports on their own, but still need to treat uterine fibroids under the guidance of a doctor.