Ultrasonography of benign vulvar lesions

Abstract

With the increasing applications of ultrasonography in the field of dermatology, this imaging modality can be extended to identify and characterize common vulvar lesions, with a particular focus on their location, size, vascularity, and content. This pictorial essay provides an introduction to vulvar ultrasonography, including technical considerations, ultrasonographic anatomy, and the ultrasonographic appearances of some vulvar conditions.

Localización atípica de un lipoblastoma en una niña de 5 años

“…El lipoblastoma localizado y el difuso difieren en los hallazgos de la ecografía Doppler color. La clasificación del flujo sanguíneo de los lipoblastomas localizados 6 es principalmente de grado 0 o I, pero la derivación del flujo sanguíneo del lipoblastoma difuso suele ser de grado II o III. En resumen, este último tiene un flujo sanguíneo más abundante, lo que explica que sea más propenso a la transformación maligna que el lipoblastoma localizado.…”

Symptomatic vulvar mucinous cyst: A case report and review of the literature

“…A canal of Nuck cyst will show continuation into the peritoneum and will fluctuate with perineal fluid. Hemangiomas show tortuous vessels on doppler, and lipomas model whorl-shaped lobular tissue without vascularization [6].…”

Ultrasonography in the diagnosis of vulvar abscess

“…The application and scanning techniques of vulvar ultrasound have been described in a previous article 1 . Ultrasonography can assist in determining the location, depth of involvement, size, contents, and vascularity of the lesion 1 . This case illustrates the add on value and the potential for the application of ultrasonography in the assessment of a vulvar lesion.…”

“…With improvements in ultrasound technology, particularly in the development of high‐ and variable‐frequency probes, ultrasound has become increasingly helpful in the evaluation of benign vulvar lesions. The application and scanning techniques of vulvar ultrasound have been described in a previous article 1 . Ultrasonography can assist in determining the location, depth of involvement, size, contents, and vascularity of the lesion 1 .…”

“…Vulvar ultrasound could help determine the outline, exact size and the likely content of the swelling, which assisted in establishing the diagnosis. For management perspective, it was also necessary to differentiate an abscess from a localized soft tissue infection, which should appear as diffuse echogenic area with no discrete collection seen over the involved area 1 ; and required primarily antibiotics therapy rather than surgical drainage 2 …”