scholarly journals P07.07: Ultrasound features of benign asymptomatic adnexal masses submitted to surgical excision, according to IOTA terminology

2019 ◽  
Vol 54 (S1) ◽  
pp. 175-176
Author(s):  
A. Meira ◽  
I. Reis ◽  
C. Carvalho
2009 ◽  
Vol 34 (S1) ◽  
pp. 48-49
Author(s):  
L. Ameye ◽  
C. Van Holsbeke ◽  
A. Testa ◽  
L. I. Valentin ◽  
R. Fruscio ◽  
...  

2014 ◽  
Vol 3 (1) ◽  
pp. 26-31
Author(s):  
Sujan Pradhan

Mature cystic teratoma often referred to as dermoid cysts have been diagnosed using all imaging modalities. Dermoid cysts present various and complex ultrasonographic aspects. At times diagnosis may be difficult and lead to confusion due to its complex solid and cystic nature. The specificity for diagnosis of fat and calcification makes computed tomography (CT) scan the modality of choice. But CT scan is high technique equipment, expensive and may not be affordable or available at all places. Advances in the quality of USG machines, better experiences of ultrasound operators and thorough analysis of all ultrasound features that characterise dermoid cysts have resulted in an increased accuracy of exact ultrasonographic diagnosis of dermoid cysts in the vast majority of the cases and now used as the first preoperative work-up method of choice for the assessment of adnexal masses in clinical practices. DOI: http://dx.doi.org/10.3126/jkmc.v3i1.10920Journal of Kathmandu Medical CollegeVol. 3, No. 1, Issue 7, Jan.-Mar., 2014, Page: 26-31


2011 ◽  
Vol 38 (S1) ◽  
pp. 126-126
Author(s):  
L. Zannoni ◽  
L. Savelli ◽  
L. Jokubkiene ◽  
A. Di Legge ◽  
G. Condous ◽  
...  

2011 ◽  
Vol 15 (1) ◽  
pp. 4
Author(s):  
Grace Rubin ◽  
Debra Ardath Meerkotter

The rare condition of idiopathic granulomatous mastitis (IGM) is presented here, unusually, in a 54-year-old woman. IGM mimics breast carcinoma and further differentials include tuberculosis and fungal infections of the breast together with other chronic granulomatous conditions. Of note is its characteristic ultrasound features that can suggest the diagnosis. Diagnosis is made by core biopsy and histology. Patients have been shown to respond to steroid and other immunosuppressive therapy, with surgical excision reserved for those whose condition is recurrent and unresponsive to medical treatment.


Diagnostics ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 1992
Author(s):  
Marta Espanhol Brito ◽  
André Borges ◽  
Sofia Rodrigues ◽  
Paula Ambrósio ◽  
Raquel Condeço ◽  
...  

This prospective multicentric study aiming to determine the incidence of complications (malignant transformation, torsion or rupture) during conservative management of adnexal masses was performed in two Portuguese tertiary referral hospitals. It included ≥18-year-old, non-pregnant patients with asymptomatic adnexal masses (associated IOTA ADNEX risk of malignancy < 10%) sonographically diagnosed between January 2016 and December 2020. Conservative patient management consisted of serial clinical and ultrasound assessment up to 60 months of follow-up, spontaneous resolution of the formation or surgical excision (median follow-up: 17.8; range 9–48 months). From the 573 masses monitored (328 premenopausal and 245 postmenopausal adnexal masses), no complications were observed in 99.5%. The annual lesion growth rates and increases in morphological complexity were similar in the premenopausal and postmenopausal patients. Spontaneous resolution, evidenced in 16.4% of the patients, was more common in the premenopausal group (p < 0.05). Surgical intervention was performed in 18.4% of the cases; one borderline and one invasive FIGO IA stage cancer were diagnosed. There was an isolated case of ovary torsion (0.17%). These data support conservative management as a safe option for sonographically benign, stable and asymptomatic adnexal masses before and after menopause and highlight the need for expedite treatment of symptomatic or increased-morphological-complexity lesions.


Medicine ◽  
2018 ◽  
Vol 97 (31) ◽  
pp. e11762 ◽  
Author(s):  
Crîngu Antoniu Ionescu ◽  
Alexandra Matei ◽  
Dan Navolan ◽  
Mihai Dimitriu ◽  
Roxana Bohâltea ◽  
...  

Author(s):  
Juan Luis Alcázar ◽  
Jesús Utrilla-Layna ◽  
Leire Juez ◽  
Almudena Peces ◽  
Txanton Martinez-Astorquiza Corral ◽  
...  

ABSTRACT Purpose To assess what clinical and ultrasound features could be most helpful for discriminating benign from malignant unilocular cysts with solid components in premenopausal women with no signs of ascites or carcinomatosis. Materials and methods Retrospective study comprising 91 women with preoperative diagnosis of unilocular-solid cyst that underwent surgical removal. The following variables were assessed: age, complaints at presentation, bilaterality, mean size of the lesion, number of papillary projections, size of solid component, surface of solid component (smooth or irregular), amount of color within solid component (no flow, minimal flow, moderate flow, abundant flow). Definitive histopathological diagnosis was used as gold standard. Multivariate logistic regression analysis was performed to identify which variables were independent predictors of malignancy and their odds ratios (OR). Results Malignant lesions had significantly larger tumor size, more number of solid components, larger size of solid component, more frequency of irregular surface in the solid component and more frequent moderate or abundant vascularization within the solid component. Logistic regression analysis identified amount of color (OR: 48.7), solid component's surface (OR: 29.1) and mean size of the lesion (OR: 1.58) as independent predictors for malignancy. Conclusion Tumor size, irregular surface and the presence of moderate or abundant color score within the solid component are the features more frequently associated to malignancy in unilocular-solid adnexal cysts in premenopausal women. How to cite this article Juez L, Peces A, Corral TMA, Orozco R, Utrilla-Layna J, Caparros M, Alcazar JL. Ultrasound Features for Determining the Risk of Malignancy in Unilocular- Solid Adnexal Masses in Premenopausal Women without Ascites and/or Carcinomatosis. Donald School J Ultrasound Obstet Gynecol 2015;9(2):112-117.


Sign in / Sign up

Export Citation Format

Share Document