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KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Theca lutein (TL) cyst
Synonyms
Hyperreactio luteinalis
Definitions
Ovarian enlargement caused by multiple luteinized follicular cysts
Secondary to excessive human chorionic gonadotropin (hCG) stimulation
IMAGING
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Takeuchi M et al: Manifestations of the female reproductive organs on MR images: changes induced by various physiologic states. Radiographics. 30(4):1147, 2010
Heilbrun ME et al: Imaging of benign adnexal masses: characteristic presentations on ultrasound, computed tomography, and magnetic resonance imaging. Clin Obstet Gynecol. 52(1):21-39, 2009
Stephen GL et al: Theca-lutein cysts complicating recovery after termination of a triploid pregnancy. J Obstet Gynaecol. 29(2):158-9, 2009
Van Holsbeke C et al: Hyperreactio luteinalis in a spontaneously conceived singleton pregnancy. Ultrasound Obstet Gynecol. 33(3):371-3, 2009
Chen EM et al: Pregnancy in chronic renal failure: a novel cause of theca lutein cysts at MRI. J Magn Reson Imaging. 26(6):1663-5, 2007
Villaseca P et al: Bilateral oophorectomy in a pregnant woman: hormonal profile from late gestation to post-partum: case report. Hum Reprod. 20(2):397-401, 2005
Chiang G et al: Imaging of adnexal masses in pregnancy. J Ultrasound Med. 23(6):805-19, 2004
Upadhyaya G et al: Bilateral theca lutein cysts: a rare cause of acute abdomen in pregnancy. Emerg Med Australas. 16(5-6):476-7, 2004
Bennett GL et al: Gynecologic causes of acute pelvic pain: spectrum of CT findings. Radiographics. 22(4):785-801, 2002
Bidus MA et al: Markedly elevated beta-hCG levels in a normal singleton gestation with hyperreactio luteinalis. Obstet Gynecol. 99(5 Pt 2):958-61, 2002
Takeda T et al: Hyperreactio luteinalis associated with severe twin-to-twin transfusion syndrome. Gynecol Obstet Invest. 53(4):243-6, 2002
Outwater EK et al: Ovarian teratomas: tumor types and imaging characteristics. Radiographics. 21(2):475-90, 2001
Frates MC et al: Early prenatal sonographic diagnosis of twin triploid gestation presenting with fetal hydrops and theca-lutein ovarian cysts. J Clin Ultrasound. 28(3):137-41, 2000
Lazarus E et al: Sonographic appearance of early complete molar pregnancies. J Ultrasound Med. 18(9):589-94; quiz 595-6, 1999
Levine D et al: Obstetric MR imaging. Radiology. 211(3):609-17, 1999
Wajda KJ et al: Hyperreactio luteinalis. Benign disorder masquerading as an ovarian neoplasm. Arch Pathol Lab Med. 113(8):921-5, 1989
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Theca lutein (TL) cyst
Synonyms
Hyperreactio luteinalis
Definitions
Ovarian enlargement caused by multiple luteinized follicular cysts
Secondary to excessive human chorionic gonadotropin (hCG) stimulation
IMAGING
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Takeuchi M et al: Manifestations of the female reproductive organs on MR images: changes induced by various physiologic states. Radiographics. 30(4):1147, 2010
Heilbrun ME et al: Imaging of benign adnexal masses: characteristic presentations on ultrasound, computed tomography, and magnetic resonance imaging. Clin Obstet Gynecol. 52(1):21-39, 2009
Stephen GL et al: Theca-lutein cysts complicating recovery after termination of a triploid pregnancy. J Obstet Gynaecol. 29(2):158-9, 2009
Van Holsbeke C et al: Hyperreactio luteinalis in a spontaneously conceived singleton pregnancy. Ultrasound Obstet Gynecol. 33(3):371-3, 2009
Chen EM et al: Pregnancy in chronic renal failure: a novel cause of theca lutein cysts at MRI. J Magn Reson Imaging. 26(6):1663-5, 2007
Villaseca P et al: Bilateral oophorectomy in a pregnant woman: hormonal profile from late gestation to post-partum: case report. Hum Reprod. 20(2):397-401, 2005
Chiang G et al: Imaging of adnexal masses in pregnancy. J Ultrasound Med. 23(6):805-19, 2004
Upadhyaya G et al: Bilateral theca lutein cysts: a rare cause of acute abdomen in pregnancy. Emerg Med Australas. 16(5-6):476-7, 2004
Bennett GL et al: Gynecologic causes of acute pelvic pain: spectrum of CT findings. Radiographics. 22(4):785-801, 2002
Bidus MA et al: Markedly elevated beta-hCG levels in a normal singleton gestation with hyperreactio luteinalis. Obstet Gynecol. 99(5 Pt 2):958-61, 2002
Takeda T et al: Hyperreactio luteinalis associated with severe twin-to-twin transfusion syndrome. Gynecol Obstet Invest. 53(4):243-6, 2002
Outwater EK et al: Ovarian teratomas: tumor types and imaging characteristics. Radiographics. 21(2):475-90, 2001
Frates MC et al: Early prenatal sonographic diagnosis of twin triploid gestation presenting with fetal hydrops and theca-lutein ovarian cysts. J Clin Ultrasound. 28(3):137-41, 2000
Lazarus E et al: Sonographic appearance of early complete molar pregnancies. J Ultrasound Med. 18(9):589-94; quiz 595-6, 1999
Levine D et al: Obstetric MR imaging. Radiology. 211(3):609-17, 1999
Wajda KJ et al: Hyperreactio luteinalis. Benign disorder masquerading as an ovarian neoplasm. Arch Pathol Lab Med. 113(8):921-5, 1989
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