RESUMO
Common benign gynaecological diseases, such as leiomyoma, adenomyosis, endometriosis, and mature teratoma, rarely undergo malignant transformation. Benign transformations that may mimic malignancy include benign metastasizing leiomyoma, massive ovarian oedema, decidualization of endometrioma, and rupture of mature teratoma. The aim of this review is to provide a contemporary overview of imaging findings in malignant and apparent malignant transformation of benign gynaecological disease.
Assuntos
Adenomioma/diagnóstico , Transformação Celular Neoplásica , Endometriose/diagnóstico , Neoplasias Ovarianas/diagnóstico , Teratoma/diagnóstico , Adulto , Edema/diagnóstico , Feminino , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Doenças Ovarianas/diagnóstico , Tomografia Computadorizada por Raios XAssuntos
Adenossarcoma/diagnóstico , Endometriose/diagnóstico , Tumor Mulleriano Misto/diagnóstico , Neoplasias Pélvicas/diagnóstico , Adenossarcoma/etiologia , Meios de Contraste , Diagnóstico por Imagem , Endometriose/complicações , Feminino , Humanos , Achados Incidentais , Imageamento por Ressonância Magnética/métodos , Pessoa de Meia-Idade , Tumor Mulleriano Misto/etiologia , Neoplasias Pélvicas/complicações , Tomografia Computadorizada por Raios X/métodosRESUMO
Round ligament varices (RLV) are an important clinical entity as they may cause hernia-like symptoms in the absence of a true hernia. When this condition is diagnosed correctly, unnecessary intervention may be prevented. We aimed to determine the significance and anatomy of RLV in pregnancy and to review and describe their clinical and sonographic appearance. We followed prospectively five patients who presented during pregnancy with clinical symptoms suspicious of an inguinal hernia. All patients were diagnosed with RLV on ultrasound examination. All patients were managed conservatively and in all five cases, RLV resolved spontaneously postpartum. The diagnosis of RLV should be considered in pregnant women presenting with a groin mass. Sonography is diagnostic and can save unnecessary surgical exploration and associated morbidity.
