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Geburtshilfe Frauenheilkd 2025; 85(09): 914-919
DOI: 10.1055/a-2656-9205
DOI: 10.1055/a-2656-9205
GebFra Magazin
Aktuell diskutiert
Sonografische Diagnostik am klinischen Fallbeispiel: Anwendung der MUSA-Kriterien bei Adenomyosis uteri und deren Differenzialdiagnosen

Zur Standardisierung der sonografischen Beurteilung uteriner Läsionen wurden die Morphological Uterus Sonographic Assessment-(MUSA-)Kriterien veröffentlicht. Anhand des im Folgenden vorgestellten Falls gehen die Autoren der Frage nach, ob mittels der MUSA-Kriterien eine klare Abgrenzung zu Differenzialdiagnosen wie uterinen Hämangiomen oder uterinen Sarkomen gelingen kann.
Publication History
Article published online:
02 September 2025
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Literatur
- 1 Deutsche Gesellschaft für Gynäkologie und Geburtshilfe, Österreichische Gesellschaft für Gynäkologie und Geburtshilfe, Schweizerische Gesellschaft für Gynäkologie und Geburtshilfe. Diagnostik und Therapie der Endometriose. 2020 Accessed March 30, 2025 at: https://register.awmf.org/assets/guidelines/015-045l_S2k_Diagnostik_Therapie_Endometriose_2020-09.pdf
- 2 International Society for the Study of Vascular Anomalies. ISSVA Classification & Glossary for Vascular Anomalies. 2025 Accessed March 30, 2025 at: https://www.issva.org/UserFiles/file/ISSVAUpdatedflowdiagram_03152025_copyright_3.21.25.pdf
- 3 Farahani M, Hashemi SA, Goodarzi S. et al. A rare case report of cervical hemangioma and a comprehensive literature review of 137 cases of cervical and uterine hemangiomas. Int J Gynaecol Obstet 2024; 164: 421-435
- 4 Liao Q, Wang J, Han J. Clinical and pathological analysis on 106 cases with uterine sarcoma. Zhonghua Fu Chan Ke Za Zhi 2001; 36: 104-107
- 5 Deutsche Gesellschaft für Gynäkologie und Geburtshilfe, Österreichische Gesellschaft für Gynäkologie und Geburtshilfe, Schweizerische Gesellschaft für Gynäkologie und Geburtshilfe. Uterine Sarkome. 2024 Accessed March 30, 2025 at: https://register.awmf.org/assets/guidelines/015-074l_S2k_Uterine_Sakrome_2024-10.pdf
- 6 Van den Bosch T, Dueholm M, Leone FP. et al. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: A consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet Gynecol 2015; 46: 284-298
- 7 Esmer AÇ, Özsürmeli M, Yüksel A. et al. Antenatal sonographic diagnosis of diffuse cavernous hemangioma of the uterus. Marmara Medical Journal 2014; 27: 134-137
- 8 Bauters E, Aertsen M, Froyman W. et al. Uterine hemangioma in pregnancy: A case report and review of the literature. J Gynecol Obstet Hum Reprod 2022; 51: 102401
- 9 Bai XL, Cao X. Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature review. CEOG 2021; 48: 987-990
- 10 Moradi B, Izadi-Mood N, Chavoshi M. et al. Magnetic resonance imaging features of diffuse cavernous hemangioma of the uterus misdiagnosed as a low grade sarcoma: A case report. I J Radiol 2020; 17: e99416
- 11 Varli G, Kılıçarslan A. Cavernous hemangiomatous polyp of uterus. Hitit Medical Journal 2021; 3: 20-22
- 12 Ludovisi M, Moro F, Pasciuto T. et al. Imaging in gynecological disease (15): Clinical and ultrasound characteristics of uterine sarcoma. Ultrasound Obstet Gynecol 2019; 54: 676-687
- 13 De Bruyn C, Ceusters J, Vanden Brande K. et al. Ultrasound features using MUSA terms and definitions in uterine sarcoma and leiomyoma: cohort study. Ultrasound Obstet Gynecol 2024; 63: 683-690
- 14 Parekh A, Sharma B, Patel K. et al. Cavernous hemangioma of uterus – Report of two cases and review of literature: Cavernous hemangioma of uterus. GAIMS Journal of Medical Sciences 2021; 1: 33-40
- 15 Mastilović K, Rajović J, Zikić Ê. et al. Hemangioma of the uterus. Arch Oncol 2005; 13: 148-149
- 16 Thanner F, Suetterlin M, Kenn W. et al. Pregnancy-associated diffuse cavernous hemangioma of the uterus. Acta obstetricia et gynecologica Scandinavica 2001; 80: 1150-1151
- 17 Weissman A, Talmon R, Jakobi P. Cavernous hemangioma of the uterus in a pregnant woman. Obstet Gynecol 1993; 81: 825-827
- 18 Agarwal M, Agrawal A, Bhadani P. et al. Localized cavernous hemangioma of uterus: a rare cause of abnormal uterine bleeding. J Case Rep 2016; 6: 388-390
- 19 Lotgering FK, Pijpers L, van Eijck J. et al. Pregnancy in a patient with diffuse cavernous hemangioma of the uterus. Am J Obstet Gynecol 1989; 160: 628-630
- 20 Gada RP, Simmons PS, Wilson TO. et al. A hemangioma of the cervix in childhood can be a harbinger of menorrhagia and infertility as an adult. J Pediatr Adolesc Gynecol 2014; 27: e139-e141
- 21 Saeed-Vafa D, Myers E, Huang Y. et al. Localized cavernous hemangioma of the uterus involving adenomyotic foci. J Cancer Res Ther 2011; 7: 69-71
- 22 Park GE, Rha SE, Oh SN. et al. Ultrasonographic findings of low-grade endometrial stromal sarcoma of the uterus with a focus on cystic degeneration. Ultrasonography 2016; 35: 124-230