Ovarian germ cell tumor ultrasound: Difference between revisions

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'''Dysgerminomas'''<ref name= xab> Ovarian dysgerminoma. http://radiopaedia.org/articles/ovarian-dysgerminoma. URL Accessed on November 11, 2015</ref>
'''Dysgerminomas'''<ref name= xab> Ovarian dysgerminoma. http://radiopaedia.org/articles/ovarian-dysgerminoma. URL Accessed on November 11, 2015</ref>
* May be seen as a septated ovarian mass with varying echotexture. Colour Doppler interrogation may show prominent flow signal within the fibrovascular septa.
* May be seen as a septated ovarian mass with varying echotexture. Colour Doppler interrogation may show prominent flow signal within the fibrovascular septa.


'''Ovarian dermoid'''<ref name= abc> Mature (cystic) ovarian teratoma. http://radiopaedia.org/articles/mature-cystic-ovarian-teratoma. URL Accessed on November 11, 2015</ref>
'''Ovarian dermoid'''<ref name= abc> Mature (cystic) ovarian teratoma. http://radiopaedia.org/articles/mature-cystic-ovarian-teratoma. URL Accessed on November 11, 2015</ref>
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'''Immature ovarian teratoma'''<ref name= yyy> Immature ovarian teratoma. http://radiopaedia.org/articles/immature-ovarian-teratoma. URL Accessed on November 11, 2015</ref>
'''Immature ovarian teratoma'''<ref name= yyy> Immature ovarian teratoma. http://radiopaedia.org/articles/immature-ovarian-teratoma. URL Accessed on November 11, 2015</ref>
Ultrasound appearance can be as a heterogeneous adnexal mass although is non-specific. Calcifications may be present
* Ultrasound appearance can be as a heterogeneous adnexal mass although is non-specific. Calcifications may be present


'''Ovarian yolk sac tumour'''<ref name= xxx> Ovarian yolk sac tumour. http://radiopaedia.org/articles/ovarian-yolk-sac-tumour. URL Accessed on November 11, 2015</ref>
'''Ovarian yolk sac tumour'''<ref name= xxx> Ovarian yolk sac tumour. http://radiopaedia.org/articles/ovarian-yolk-sac-tumour. URL Accessed on November 11, 2015</ref>

Revision as of 19:52, 16 November 2015

Ovarian germ cell tumor Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

Causes

Epidemiology and Demographics

Risk Factors

Screening

Differentiating Ovarian germ cell tumor from other Diseases

Natural History, Complications and Prognosis

Diagnosis

Staging

Diagnostic Study of Choice

History and Symptoms

Physical Examination

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Electrocardiogram

Chest X Ray

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Ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]

Overview

On transvaginal ultrasound, endometrial cancer is characterized by thickening of the endometrium and disruption of a subendometrial halo.

Ultrasound

Dysgerminomas[1]

  • May be seen as a septated ovarian mass with varying echotexture. Colour Doppler interrogation may show prominent flow signal within the fibrovascular septa.

Ovarian dermoid[2]

  • Ultrasound is the preferred imaging modality. Typically an ovarian dermoid is seen as a cystic adnexal mass with some mural components. Most lesions are unilocular.
  • The spectrum of sonographic features includes:
  • Diffusely or partially echogenic mass with posterior sound attenuation owing to sebaceous material and hair within the cyst cavity
  • Echogenic interface at the edge of mass that obscures deep structures: the tip of the iceberg sign
  • Mural hyperechoic Rokitansky nodule: dermoid plug
  • Echogenic, shadowing calcific or dental (tooth) components
  • Presence of fluid-fluid levels
  • Multiple thin, echogenic bands caused by hair in the cyst cavity: the dot-dash pattern
  • Colour Doppler: no internal vascularity
  • Internal vascularity requires further workup to exclude a malignant lesion

Immature ovarian teratoma[3]

  • Ultrasound appearance can be as a heterogeneous adnexal mass although is non-specific. Calcifications may be present

Ovarian yolk sac tumour[4]

  • The tumour typically manifests as a large, complex pelvic mass that extends into the abdomen and contains both solid and cystic components
  • The cystic areas are composed of epithelial lined cysts produced by the tumour or of co-existing mature teratomas
  • Bilaterality is rare.
  • Tends to have both echogenic and hypoechoic components.

Ovarian choriocarcinoma[5] On imaging, choriocarcinomas appear as vascular solid tumours with cystic, haemorrhagic, and necrotic areas.


References

  1. Ovarian dysgerminoma. http://radiopaedia.org/articles/ovarian-dysgerminoma. URL Accessed on November 11, 2015
  2. Mature (cystic) ovarian teratoma. http://radiopaedia.org/articles/mature-cystic-ovarian-teratoma. URL Accessed on November 11, 2015
  3. Immature ovarian teratoma. http://radiopaedia.org/articles/immature-ovarian-teratoma. URL Accessed on November 11, 2015
  4. Ovarian yolk sac tumour. http://radiopaedia.org/articles/ovarian-yolk-sac-tumour. URL Accessed on November 11, 2015
  5. Ovarian choriocarcinoma. http://radiopaedia.org/articles/ovarian-choriocarcinoma. URL Accessed on November 11, 2015

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