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CEUS Gynecology: Ovarian Masses
Nitin Chaubal, MD, DMRD, FAIUM, FSRU, FICR; Arthur C. Fleischer, MD
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KEY FACTS

  • Clinical Implications

    • Applications of CEUS

      CLINICAL IMPLICATIONS

      • General Considerations

        IMAGING

        • US Findings

          • CEUS Findings

            CHARACTERIZATION OF OVARIAN MASSES

            • Functional Cyst

              • Hemorrhagic Cyst

                • Endometrioma

                  • Paraovarian Cyst

                    • Cystadenoma

                      • Ovarian Fibroma and Fibrothecoma

                        • Pedunculated/Broad Ligament Fibroid

                          • Dermoid Cyst

                            • Peritoneal Inclusion Cyst

                              • Serous and Mucinous Borderline Tumors

                                • Ovarian Cancer

                                  • Dysgerminoma

                                    • Secondary Malignancy

                                      Selected References

                                      1. Fleischer A et al: Contrast-Enhanced Gynecologic Sonography. In Fleischer's Sonography in Obstetrics and Gynecology: Textbook and Teaching Cases, 8e. McGraw Hill Professional, 2017
                                      2. Jung SI: Ultrasonography of ovarian masses using a pattern recognition approach. Ultrasonography. 34(3):173-82, 2015
                                      3. Sayasneh A et al: The characteristic ultrasound features of specific types of ovarian pathology (Review). Int J Oncol. 46(2):445-58, 2015
                                      4. Valentin L et al: Adnexal masses difficult to classify as benign or malignant using subjective assessment of gray-scale and Doppler ultrasound findings: logistic regression models do not help. Ultrasound Obstet Gynecol. 38(4):456-65, 2011
                                      5. Kurman RJ et al: The origin and pathogenesis of epithelial ovarian cancer—a proposed unifying theory. Am J Surg Pathol. 34(3):433-43, 2010
                                      6. Timmerman D et al: Simple ultrasound rules to distinguish between benign and malignant adnexal masses before surgery: prospective validation by IOTA group. BMJ. 341:c6839, 2010
                                      7. Testa AC et al: Intravenous contrast ultrasound examination using contrast-tuned imaging (CnTI) and the contrast medium SonoVue for discrimination between benign and malignant adnexal masses with solid components. Ultrasound Obstet Gynecol. 34(6):699-710, 2009
                                      8. Fleischer AC et al: Contrast-enhanced transvaginal sonography of benign versus malignant ovarian masses: preliminary findings. J Ultrasound Med. 27(7):1011-8; quiz 1019-21, 2008
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Clinical Implications

                                        • Applications of CEUS

                                          CLINICAL IMPLICATIONS

                                          • General Considerations

                                            IMAGING

                                            • US Findings

                                              • CEUS Findings

                                                CHARACTERIZATION OF OVARIAN MASSES

                                                • Functional Cyst

                                                  • Hemorrhagic Cyst

                                                    • Endometrioma

                                                      • Paraovarian Cyst

                                                        • Cystadenoma

                                                          • Ovarian Fibroma and Fibrothecoma

                                                            • Pedunculated/Broad Ligament Fibroid

                                                              • Dermoid Cyst

                                                                • Peritoneal Inclusion Cyst

                                                                  • Serous and Mucinous Borderline Tumors

                                                                    • Ovarian Cancer

                                                                      • Dysgerminoma

                                                                        • Secondary Malignancy

                                                                          Selected References

                                                                          1. Fleischer A et al: Contrast-Enhanced Gynecologic Sonography. In Fleischer's Sonography in Obstetrics and Gynecology: Textbook and Teaching Cases, 8e. McGraw Hill Professional, 2017
                                                                          2. Jung SI: Ultrasonography of ovarian masses using a pattern recognition approach. Ultrasonography. 34(3):173-82, 2015
                                                                          3. Sayasneh A et al: The characteristic ultrasound features of specific types of ovarian pathology (Review). Int J Oncol. 46(2):445-58, 2015
                                                                          4. Valentin L et al: Adnexal masses difficult to classify as benign or malignant using subjective assessment of gray-scale and Doppler ultrasound findings: logistic regression models do not help. Ultrasound Obstet Gynecol. 38(4):456-65, 2011
                                                                          5. Kurman RJ et al: The origin and pathogenesis of epithelial ovarian cancer—a proposed unifying theory. Am J Surg Pathol. 34(3):433-43, 2010
                                                                          6. Timmerman D et al: Simple ultrasound rules to distinguish between benign and malignant adnexal masses before surgery: prospective validation by IOTA group. BMJ. 341:c6839, 2010
                                                                          7. Testa AC et al: Intravenous contrast ultrasound examination using contrast-tuned imaging (CnTI) and the contrast medium SonoVue for discrimination between benign and malignant adnexal masses with solid components. Ultrasound Obstet Gynecol. 34(6):699-710, 2009
                                                                          8. Fleischer AC et al: Contrast-enhanced transvaginal sonography of benign versus malignant ovarian masses: preliminary findings. J Ultrasound Med. 27(7):1011-8; quiz 1019-21, 2008