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Theca Lutein Cysts
Akram M. Shaaban, MBBCh; Patricia Noël, MD, FRCPC; Caroline Reinhold, MD, MSc
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Hyperreactio luteinalis (HL)
          • Definitions

            • Multiple theca lutein cysts in association with increased levels of, or abnormal ovarian response to, human chorionic gonadotropin (β-hCG)
            • Subtype of ovarian functional cysts along with follicular cysts and corpus luteum cysts

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic 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. Yacobozzi M et al: Adnexal masses in pregnancy. Semin Ultrasound CT MR. 33(1):55-64, 2012
                                        2. Takeuchi M et al: Magnetic resonance manifestations of hyperreactio luteinalis. J Comput Assist Tomogr. 35(3):343-6, 2011
                                        3. Takeuchi M et al: Manifestations of the female reproductive organs on MR images: changes induced by various physiologic states. Radiographics. 30(4):1147, 2010
                                        4. Allen SD et al: Radiology of gestational trophoblastic neoplasia. Clin Radiol. 61(4):301-13, 2006
                                        5. Tamai K et al: MR features of physiologic and benign conditions of the ovary. Eur Radiol. 16(12):2700-11, 2006
                                        6. Jung SE et al: MR imaging of maternal diseases in pregnancy. AJR Am J Roentgenol. 177(6):1293-300, 2001
                                        7. al-Harbi O et al: Recurrent bilateral theca lutein cysts in association with normal pregnancy. Ultrasound Obstet Gynecol. 11(3):222-4, 1998
                                        8. Wagner BJ et al: From the archives of the AFIP. Gestational trophoblastic disease: radiologic-pathologic correlation. Radiographics. 16(1):131-48, 1996
                                        9. Montz FJ et al: The natural history of theca lutein cysts. Obstet Gynecol. 72(2):247-51, 1988
                                        10. Hricak H et al: Gestational trophoblastic neoplasm of the uterus: MR assessment. Radiology. 161(1):11-6, 1986
                                        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

                                                  • Hyperreactio luteinalis (HL)
                                                • Definitions

                                                  • Multiple theca lutein cysts in association with increased levels of, or abnormal ovarian response to, human chorionic gonadotropin (β-hCG)
                                                  • Subtype of ovarian functional cysts along with follicular cysts and corpus luteum cysts

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • MR Findings

                                                      • Ultrasonographic 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. Yacobozzi M et al: Adnexal masses in pregnancy. Semin Ultrasound CT MR. 33(1):55-64, 2012
                                                                              2. Takeuchi M et al: Magnetic resonance manifestations of hyperreactio luteinalis. J Comput Assist Tomogr. 35(3):343-6, 2011
                                                                              3. Takeuchi M et al: Manifestations of the female reproductive organs on MR images: changes induced by various physiologic states. Radiographics. 30(4):1147, 2010
                                                                              4. Allen SD et al: Radiology of gestational trophoblastic neoplasia. Clin Radiol. 61(4):301-13, 2006
                                                                              5. Tamai K et al: MR features of physiologic and benign conditions of the ovary. Eur Radiol. 16(12):2700-11, 2006
                                                                              6. Jung SE et al: MR imaging of maternal diseases in pregnancy. AJR Am J Roentgenol. 177(6):1293-300, 2001
                                                                              7. al-Harbi O et al: Recurrent bilateral theca lutein cysts in association with normal pregnancy. Ultrasound Obstet Gynecol. 11(3):222-4, 1998
                                                                              8. Wagner BJ et al: From the archives of the AFIP. Gestational trophoblastic disease: radiologic-pathologic correlation. Radiographics. 16(1):131-48, 1996
                                                                              9. Montz FJ et al: The natural history of theca lutein cysts. Obstet Gynecol. 72(2):247-51, 1988
                                                                              10. Hricak H et al: Gestational trophoblastic neoplasm of the uterus: MR assessment. Radiology. 161(1):11-6, 1986