Objectives: Multilocular cystic lesions in the uterine cervix vary wide; from benign to the malignant. The purpose of this presentation is to show the imaging findings of multilocular cystic lesions in the uterine cervix and determine the value of Doppler US for differentiation between malignant and benign lesions.
Methods: We reviewed the imaging findings including Doppler US of multilocular cystic lesions in the uterine cervix. All cases were confirmed by surgical resection and correlation with pathologic features.
Results: In this exhibit, we describe imaging features of the malignant (adenoma malignum and adenocarcinoma) and benign (chronic cervicitis, endocervical hyperplasia, nabothian cysts, and tunnel cluster) multilocular cystic lesions in the uterine cervix. Furthermore, we describe the value and imaging features of Doppler US for differentiation of these multilocular cystic lesions in the uterine cervix. Thus, color or power and pulsed Doppler US of the malignant multilocular cystic lesions in the uterine cervix reveal increased intrinsic vascularity and RI as null or reversal of diastolic flow.
Conclusions: The role of the radiologist is to ensure that identify the full spectrum of multilocular cystic lesions in the uterine cervix and differentiate malignant lesions from benign lesions by either particular imaging (especially Doppler US) or clinical findings.