EP26.14: Sonographic appearance of uterine cervical lesions

Ultrasound of the female pelvis is widely used as the first-line imaging modality to diagnose various uterine and adnexal disorders. However, a lesion in the uterine cervix is frequently undiagnosed owing to heterogenous presentation and lack of knowledge. This study aims to present the ultrasound techniques, characteristic sonographic appearance of normal cervix and pathological entities all detected in patients not clinically suspected and its utility in patients referred for a routine pelvic ultrasound. The cohort of patients are all from a middle and lower socioecomonic background (with no access to an MRI facility). The clinical symptoms were vaginal discharge, bleeding or feeling of a lump. Each patient was first evaluated by a transabdominal scan followed by a transvaginal US (TVS) with a 5-9 MHz volume transducer in sexually active females, TRUS for young females. 3D technique, elastography and Doppler was used when necessary. The cases diagnosed were congenital absence, duplication, septation, inflammatory stenosis, hyperplasia, cysts, polyps, neoplasms (benign and malignant), endometriosis and obstetric disorders like abortion in progress, ectopic pregnancy and incompetence. The diagnosis was confirmed by cytology, histopathology, at surgery or supplementary imaging. Ultrasound is an easily available modality in a developing country like India, widely popular, cheap and accessible. Knowledge of the ultrasound appearance of these pathologies will initiate suspicion, help in detection and give a good treatment outcome in the lower socioeconomic population, for those living in unhealthy conditions with no proper access to adequate medical treatment. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.