Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
Add more filters










Database
Language
Publication year range
1.
J Magn Reson Imaging ; 24(4): 880-5, 2006 Oct.
Article in English | MEDLINE | ID: mdl-16969789

ABSTRACT

PURPOSE: To determine whether recent progress in imaging has made it possible to diagnose spontaneous detorsion, which is an accepted concept in the gynecological literature but until now has been a presumptive diagnosis that could not be confirmed because of the lack of imaging proof. MATERIALS AND METHODS: We searched for patients who had a diagnosis of spontaneous detorsion on MRI between January 2000 and January 2003, and selected only patients who met a selection of strict criteria, including mainly enlargement and hyperintensity of ovarian stroma on T2-weighted (T2W) images, clinical findings compatible with torsion and detorsion, and return of the stroma to normal size on follow-up examinations. Other signs of torsion, such as tubal thickening, were appreciated but not mandatory. Clinical follow-up for at least three years was available. RESULTS: Four patients met the study criteria. No stabilizing procedure was performed in the ovaries. One patient recurred and lost her ovary. CONCLUSION: The diagnosis of torsion followed by spontaneous detorsion was made with high probability in a selected number of patients. The clinical management of such patients remains a matter of debate. Laparoscopy with oophoropexy would be useful for young patients in whom close follow-up cannot be achieved.


Subject(s)
Magnetic Resonance Imaging/methods , Ovarian Diseases/diagnosis , Adult , Female , Humans , Ovarian Diseases/diagnostic imaging , Ovarian Diseases/physiopathology , Retrospective Studies , Torsion Abnormality/diagnosis , Ultrasonography
2.
J Comput Assist Tomogr ; 29(1): 74-9, 2005.
Article in English | MEDLINE | ID: mdl-15665687

ABSTRACT

OBJECTIVE: To describe the ultrasound and MR appearance of paraovarian cystadenomas. METHODS: We reviewed retrospectively the radiologic findings in 7 patients with surgically proven paraovarian cystic neoplasms, including 6 serous cystadenomas and 1 borderline seromucinous cystadenoma. All had ultrasound and 4 had MR preoperatively. RESULTS: On ultrasound, the ipsilateral ovary was visualized in six cases, in contact with the cyst in five and separate from it in one. On MR, the ovary and the cyst were visible in four cases, in contact in three and separate in one. Internal papillary excrescences, present at pathology in all cysts, were seen in five on ultrasound and in four on MR. CONCLUSION: Although the extraovarian location of these neoplasms is difficult to determine preoperatively by ultrasound and MR, these imaging modalities are more reliable in predicting the histology of these rare lesions and differentiating them from simple paraovarian cysts.


Subject(s)
Cystadenoma, Serous/diagnostic imaging , Magnetic Resonance Imaging , Ovarian Neoplasms/diagnostic imaging , Adolescent , Adult , Biopsy , Cyst Fluid/chemistry , Cystadenocarcinoma, Mucinous/diagnosis , Cystadenocarcinoma, Mucinous/diagnostic imaging , Cystadenocarcinoma, Serous/diagnosis , Cystadenocarcinoma, Serous/diagnostic imaging , Cystadenoma, Serous/diagnosis , Female , Humans , Middle Aged , Ovarian Cysts/diagnosis , Ovarian Cysts/diagnostic imaging , Ovarian Neoplasms/diagnosis , Ovary/diagnostic imaging , Ovary/pathology , Retrospective Studies , Ultrasonography
SELECTION OF CITATIONS
SEARCH DETAIL
...