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Endometrioma
Bryan R. Foster, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Endometriosis, endometriotic cysts, chocolate cyst
          • Definitions

            • Functional endometrium outside of uterus
              • Cyclical hemorrhage
            • Ectopic endometrial cells

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Brown J et al: Endometriosis: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 3:CD009590, 2014
                                      2. Groszmann Y et al: Decidualized endometrioma masquerading as ovarian cancer in pregnancy. J Ultrasound Med. 33(11):1909-15, 2014
                                      3. Levy G et al: An update on adenomyosis. Diagn Interv Imaging. 94(1):3-25, 2013
                                      4. McDermott S et al: MR imaging of malignancies arising in endometriomas and extraovarian endometriosis. Radiographics. 32(3):845-63, 2012
                                      5. Siegelman ES et al: MR imaging of endometriosis: ten imaging pearls. Radiographics. 32(6):1675-91, 2012
                                      6. ChamiƩ LP et al: Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy. Radiographics. 31(4):E77-100, 2011
                                      7. Wall DJ et al: Echogenic foci in the ovary: are they predictive of endometriosis? J Ultrasound Med. 30(3):391-5, 2011
                                      8. Asch E et al: Variations in appearance of endometriomas. J Ultrasound Med. 26(8):993-1002, 2007
                                      9. Alborzi S et al: Management of ovarian endometrioma. Clin Obstet Gynecol. 49(3):480-91, 2006
                                      10. Bhatt S et al: Endometriosis: Sonographic Spectrum. Ultrasound Q. 22(4):273-280, 2006
                                      11. Jain KA: Endometrioma with calcification simulating a dermoid on sonography. J Ultrasound Med. 25(9):1237-41, 2006
                                      12. Kunz G et al: Adenomyosis in endometriosis--prevalence and impact on fertility. Evidence from magnetic resonance imaging. Hum Reprod. 20(8):2309-16, 2005
                                      13. Woodward PJ et al: Endometriosis: radiologic-pathologic correlation. Radiographics. 21(1):193-216; questionnaire 288-94, 2001
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Synonyms

                                                • Endometriosis, endometriotic cysts, chocolate cyst
                                              • Definitions

                                                • Functional endometrium outside of uterus
                                                  • Cyclical hemorrhage
                                                • Ectopic endometrial cells

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • MR Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Gross Pathologic & Surgical Features

                                                            • Microscopic Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Brown J et al: Endometriosis: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 3:CD009590, 2014
                                                                          2. Groszmann Y et al: Decidualized endometrioma masquerading as ovarian cancer in pregnancy. J Ultrasound Med. 33(11):1909-15, 2014
                                                                          3. Levy G et al: An update on adenomyosis. Diagn Interv Imaging. 94(1):3-25, 2013
                                                                          4. McDermott S et al: MR imaging of malignancies arising in endometriomas and extraovarian endometriosis. Radiographics. 32(3):845-63, 2012
                                                                          5. Siegelman ES et al: MR imaging of endometriosis: ten imaging pearls. Radiographics. 32(6):1675-91, 2012
                                                                          6. ChamiƩ LP et al: Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy. Radiographics. 31(4):E77-100, 2011
                                                                          7. Wall DJ et al: Echogenic foci in the ovary: are they predictive of endometriosis? J Ultrasound Med. 30(3):391-5, 2011
                                                                          8. Asch E et al: Variations in appearance of endometriomas. J Ultrasound Med. 26(8):993-1002, 2007
                                                                          9. Alborzi S et al: Management of ovarian endometrioma. Clin Obstet Gynecol. 49(3):480-91, 2006
                                                                          10. Bhatt S et al: Endometriosis: Sonographic Spectrum. Ultrasound Q. 22(4):273-280, 2006
                                                                          11. Jain KA: Endometrioma with calcification simulating a dermoid on sonography. J Ultrasound Med. 25(9):1237-41, 2006
                                                                          12. Kunz G et al: Adenomyosis in endometriosis--prevalence and impact on fertility. Evidence from magnetic resonance imaging. Hum Reprod. 20(8):2309-16, 2005
                                                                          13. Woodward PJ et al: Endometriosis: radiologic-pathologic correlation. Radiographics. 21(1):193-216; questionnaire 288-94, 2001