J Korean Soc Ultrasound Med.  2009 Dec;28(4):213-217.

Color Doppler Ultrasonographic Findings of Vascular Leiomyoma: Pathologic Correlation

• Ko JY
• Koh SH
• Min SK
• Choi AL
• Jang KM
• Lee Y
• Lee K
• Kim SS
• Lee H
• Sohn JH

Abstract

PURPOSE
To evaluate the distribution of color flow signals on color Doppler ultrasonography of vascular leiomyomas and to correlate them with pathologic findings.
MATERIALS AND METHODS
We retrospectively analyzed color Doppler ultrasonographic images and pathologic slides of six vascular leiomyomas. We classified the patterns of distribution of color flow signals into localized compact cluster types and non-cluster types, and the pathologic findings into three subtypes: solid, venous and cavernous.
RESULTS
All cases showed well-defined homogenous hypoechoic subcutaneous masses on gray-scale ultrasonography. Three cases showed localized compact cluster types on color Doppler ultrasonography, one in each subtype (solid, venous and cavernous). For the three non-cluster types, again there was on in each subtype. In addition, on pathologic analysis the zone of the localized compact cluster of color flow signals coincided with a cluster of larger, vascular caliber masses.
CONCLUSIONS
Localized compact clusters of color flow signals on color Doppler ultrasonography were seen in 50% of our cases and correlated with a cluster of larger vascular caliber in the mass. But the pattern of distribution of color flows didn't show a correlation with pathologic type.

Keyword

Vascular leiomyoma; color Doppler; Ultrasonography; Soft tissue neoplasm

MeSH Terms

Angiomyoma
Retrospective Studies
Soft Tissue Neoplasms
Ultrasonography, Doppler, Color