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Ultrasound ovarian tumour

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https://www.readbyqxmd.com/read/27803082/leydig-cell-tumour-and-mature-ovarian-teratoma-rare-androgen-secreting-ovarian-tumours-in-postmenopausal-women
#1
Ana Palha, Luísa Cortez, Ana Paula Tavares, Ana Agapito
Androgen-secreting ovarian tumours are extremely rare accounting for <5% of all ovarian neoplasms. They are more frequent in postmenopausal women and should be suspected in the case of a rapid onset of androgenic symptoms. We report 4 cases of postmenopausal women who presented with signs of virilisation. All patients revealed increased serum levels of testosterone, normal dehydroepiandrosterone-sulfate and negative pelvic ultrasound for adnexal masses. An androgen-secreting ovarian tumour was suspected and all of them were submitted to bilateral oophorectomy...
November 1, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27511754/rapid-recovery-from-catastrophic-paraneoplastic-anti-nmdar-encephalitis-secondary-to-an-ovarian-teratoma-following-ovarian-cystectomy
#2
Charuwan Tantipalakorn, Atiwat Soontornpun, Tip Pongsuvareeyakul, Theera Tongsong
This report is aimed to describe a life-threatening case of anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis secondary to ovarian teratoma with rapid recovery in 1 day after the removal of the tumour. A 23-year-old woman presented with sudden headache, personality changes and seizure. After neurological assessment, limbic or herpes encephalitis was provisionally diagnosed and treated with intravenous immunoglobulin, acyclovir and steroids. The patient had progressive severe neurological symptoms, requiring prolonged intubation and mechanical ventilation...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27507231/refining-ovarian-cancer-test-accuracy-scores-rockets-protocol-for-a-prospective-longitudinal-test-accuracy-study-to-validate-new-risk-scores-in-women-with-symptoms-of-suspected-ovarian-cancer
#3
Sudha Sundar, Caroline Rick, Francis Dowling, Pui Au, Kym Snell, Nirmala Rai, Rita Champaneria, Hilary Stobart, Richard Neal, Clare Davenport, Susan Mallett, Andrew Sutton, Sean Kehoe, Dirk Timmerman, Tom Bourne, Ben Van Calster, Aleksandra Gentry-Maharaj, Usha Menon, Jon Deeks
INTRODUCTION: Ovarian cancer (OC) is associated with non-specific symptoms such as bloating, making accurate diagnosis challenging: only 1 in 3 women with OC presents through primary care referral. National Institute for Health and Care Excellence guidelines recommends sequential testing with CA125 and routine ultrasound in primary care. However, these diagnostic tests have limited sensitivity or specificity. Improving accurate triage in women with vague symptoms is likely to improve mortality by streamlining referral and care pathways...
2016: BMJ Open
https://www.readbyqxmd.com/read/27491160/-ultrasound-criteria-or-the-operability-and-efficacy-of-the-treatment-of-the-malignant-epithelial-ovarian-tumours
#4
K D Shkarbun, L I Shkarbun
In order to isolate the main sonographic criteria of ovarian cancer operability the dynamical U.S. examination was performed on 65 women with epithelial tumors of II-III stages before and during 5 years after treatment beginning, which included (in different combinations) cytoreductive surgery and neoadjuvant chemotherapy. Only total 14 (21.5%) relapses were revealed. The U.S. prognostic criteria of the ovarian cancer treatment efficacy with and without neoadjuvant chemotherapy were defined.
October 2015: Likars'ka Sprava
https://www.readbyqxmd.com/read/27448792/ovarian-dysgerminoma-presenting-as-a-pregnancy-case-report
#5
Solwayo Ngwenya
A 32 year-old P4 G4 was referred from a rural hospital for fibroids in pregnancy. The pregnancy test was positive. An ultrasound scan reported a huge left extrauterine mass. The uterus was of normal size. There was no pregnancy demonstrated. A laparotomy was done through a midline incision. There was a huge left ovarian tumour occupying the pelvic/abdominal region right up to the xiphisternum. A left salpingo-oophrectomy was done. The post operative period was uneventful. The histopathological report confirmed the diagnosis of ovarian dysgerminoma FIGO stage 1A...
July 22, 2016: Tropical Doctor
https://www.readbyqxmd.com/read/27282774/age-related-differences-in-the-sonographic-characteristics-of-endometriomas
#6
Stefano Guerriero, Ben Van Calster, Edgardo Somigliana, Silvia Ajossa, Wouter Froyman, Bavo De Cock, An Coosemans, Daniela Fischerová, Caroline Van Holsbeke, Juan Luis Alcazar, Antonia C Testa, Lil Valentin, Tom Bourne, Dirk Timmerman
STUDY QUESTION: Do sonographic characteristics of ovarian endometriomas vary with age in premenopausal women? SUMMARY ANSWER: With increasing age, multilocular cysts and cysts with papillations and other solid components become more common whereas ground glass echogenicity of cyst fluid becomes less common. WHAT IS KNOWN ALREADY: Expectant or medical management of women with endometriomas is now accepted. Therefore, the accuracy of non-invasive diagnosis of these cysts is pivotal...
August 2016: Human Reproduction
https://www.readbyqxmd.com/read/27225154/sarcoma-like-mural-nodule-in-a-borderline-mucinous-tumour-of-ovary
#7
Rabia Ahmed, Hafeez Ud Din, Shoaib Naiyar Hashmi, Iqbal Muhammad
A 37-year female presented with complaint of lower abdominal pain and amenorrhoea to the Military Hospital, Rawalpindi. Ultrasound of pelvis showed a right adnexal cystic lesion. On investigation, CA-125 was raised. Her MRI scan of pelvis revealed a right adnexal mass of fluid intensity measuring 15.2 x 12.9 x 9.2 cm. Right ovarian cystectomy was performed and the specimen was sent for histopathological examination. Grossly, the mass was cystic in appearance and measured 13.5 x 10 x 10 cm. On sectioning, it was unilocular and filled with turbid material...
May 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/26968295/from-syncope-episode-to-the-diagnosis-of-ovarian-dermoid-cyst-associated-with-a-cystadenoma
#8
Ancuta Augustina Gheorghisan-Galateanu, Mara Carsote, Anda Dumitrascu, Andreea Geleriu, Dana Terzea, Catalina Poiana
Ovarian teratoma has various presentations. We present a 28-year female diagnosed with a tumour after a fainting episode. Medical history was non-contributory except for mild intermittent pelvic pain. Cardiologic and neurological evaluation found no cause of syncope. Abdominal ultrasound revealed a right ovarian tumour that was laparoscopically removed. The menses continued to be normal. The pathological exam showed an encapsulated tumour of 8 cm with hair and small bone parts (mature teratoma with a cystadenoma)...
March 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/26922169/subjective-assessment-versus-ultrasound-models-to-diagnose-ovarian-cancer-a-systematic-review-and-meta-analysis
#9
REVIEW
E M J Meys, J Kaijser, R F P M Kruitwagen, B F M Slangen, B Van Calster, B Aertgeerts, J Y Verbakel, D Timmerman, T Van Gorp
INTRODUCTION: Many national guidelines concerning the management of ovarian cancer currently advocate the risk of malignancy index (RMI) to characterise ovarian pathology. However, other methods, such as subjective assessment, International Ovarian Tumour Analysis (IOTA) simple ultrasound-based rules (simple rules) and IOTA logistic regression model 2 (LR2) seem to be superior to the RMI. Our objective was to compare the diagnostic accuracy of subjective assessment, simple rules, LR2 and RMI for differentiating benign from malignant adnexal masses prior to surgery...
May 2016: European Journal of Cancer
https://www.readbyqxmd.com/read/26691938/-hereditary-breast-and-ovarian-cancer-syndrome
#10
K Petráková, M Palácová, M Schneiderová, M Standara
Population with hereditary breast and ovarian cancer syndrome, i.e. BRCA1/2 mutation carriers, are at higher risk of developing breast and ovarian cancer as well as other solid tumours such as pancreatic cancer, prostate cancer and melanoma. With the increasing experience, screening recommendations and preventive strategies including prophylactic surgery are being settled. Surveillance of women with hereditary breast cancer syndrome comprises clinical breast examination every six months, breast ultrasound and MRI in patients aged 25 to 29 and MRI and mammography in women aged 30 to 65...
2016: Klinická Onkologie: Casopis Ceské a Slovenské Onkologické Spolecnosti
https://www.readbyqxmd.com/read/26351313/synchronous-endometrioid-endometrial-and-ovarian-cancer-in-a-34-year-old-woman
#11
Patrícia Isidro Amaral, Abel Silva, Abílio Lacerda, Carlos Barros
Ovarian cancer is the leading cause of death from gynaecological malignancy in developed countries. Synchronous endometrioid endometrial and ovarian cancer in patients appears with different clinical characteristics compared to patients with isolated endometrial cancer. A 34-year-old woman with lower abdominal pain of 1 year duration presented at the emergency department. On gynaecological examination, she had a left and midline pelvic mass. A transvaginal ultrasound showed it to be a complex hypervascularised mass, with cystic and solid components on left adnexal region...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25920315/spuriously-high-androstendione-concentrations-due-to-assay-interference-as-a-cause-of-diagnostic-conundrum-in-women-with-oligomenorrhoea
#12
Krzysztof C Lewandowski, Waldemar Grotowski, Katarzyna Dabrowska, Ewa Głowacka, Andrzej Lewiński
UNLABELLED: Polycystic ovary syndrome (PCOS) is a diagnosis of exclusion. We present two cases of women with oligomenorrhoea and high concentration of androstendione, suggestive of possible androgen-secreting tumour; caused by assay interference. The first patient, investigated for oligomenorrhoea, had no significant hirsutism or acne. Androstendione concentration was above 10.0 ng/ml (rr: 0.3-3.3 ng/ml). In order to rule out possible androgen-secreting tumour or hypercortisolaemia we performed 48-hour low dose dexamethasone suppression test (LDDST)...
March 2015: Ginekologia Polska
https://www.readbyqxmd.com/read/25897371/towards-an-evidence-based-approach-for-diagnosis-and-management-of-adnexal-masses-findings-of-the-international-ovarian-tumour-analysis-iota-studies
#13
J Kaijser
Whilst the outcomes for patients with ovarian cancer clearly benefit from centralised, comprehensive care in dedicated cancer centres, unfortunately the majority of patients still do not receive appropriate specialist treatment. Any improvement in the accuracy of current triaging and referral pathways whether using new imaging tests or biomarkers would therefore be of value in order to optimise the appropriate selection of patients for such care. An analysis of current evidence shows that such tests are now available, but still await recognition, acceptance and widespread adoption...
2015: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/25897369/management-of-ovarian-cysts-and-cancer-in-pregnancy
#14
REVIEW
J de Haan, M Verheecke, F Amant
Adnexal masses during pregnancy are not uncommon. Ovarian cysts or masses during pregnancy should be accurately evaluated to identify the patients who need surgical interventions from those where a 'wait-and-see' strategy can be followed. Ultrasound and MRI are safe diagnostic tools to distinguish between benign and malignant lesions. Treatment options (surgical procedures) should be discussed for each patient individually. Both open surgery and laparoscopy can be performed considering the tumour diameter, gestational age and surgical expertise...
2015: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/25897367/automated-characterisation-of-ultrasound-images-of-ovarian-tumours-the-diagnostic-accuracy-of-a-support-vector-machine-and-image-processing-with-a-local-binary-pattern-operator
#15
S Khazendar, A Sayasneh, H Al-Assam, H Du, J Kaijser, L Ferrara, D Timmerman, S Jassim, T Bourne
INTRODUCTION: Preoperative characterisation of ovarian masses into benign or malignant is of paramount importance to optimise patient management. OBJECTIVES: In this study, we developed and validated a computerised model to characterise ovarian masses as benign or malignant. MATERIALS AND METHODS: Transvaginal 2D B mode static ultrasound images of 187 ovarian masses with known histological diagnosis were included. Images were first pre-processed and enhanced, and Local Binary Pattern Histograms were then extracted from 2 × 2 blocks of each image...
2015: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/25896742/evaluation-of-ultrasound-guided-fine-needle-aspiration-cytology-of-ovarian-masses-with-histopathological-correlation
#16
Subrata Pal, Srabani Chakrabarti, Debasis Deuoghuria, Jyoti Prakash Phukan, Anuradha Sinha, Prabhat Kr Mondal
BACKGROUND: Preoperative cytodiagnosis of ovarian masses is a difficult process, and sampling of pelvic masses is quite easier after the improvement of imaging techniques. Though histopathology is the gold standard, fine-needle aspiration cytology (FNAC) under ultrasound (US) guidance can be a valuable tool for pre-operative diagnosis of ovarian lesions, especially in the hands of an experienced pathologist. OBJECTIVE: The present study was performed to evaluate the role of US-guided FNAC in pre-operative cytological diagnosis of ovarian masses in comparison with histopathology, and to assess the pitfalls and limitations of cytological interpretation...
2015: Acta Cytologica
https://www.readbyqxmd.com/read/25861207/bilateral-retiform-variant-of-sertoli-leydig-cell-tumour-of-ovary-an-uncommon-tumor-with-review-of-literature
#17
Monika Rathi, Satish Kumar Budania, Mohammad Khalid, Ankur Mittal
Sertoli-leydig cell tumors are the uncommon sex-cord stromal tumors of the ovary. We report a case of 42-year-old female with retiform variant of sertoli-leydig cell tumour. She presented with the complaint of mass in abdomen for 7 years. Ultrasound revealed bilateral ovarian mass suggestive of malignancy. Bilateral salpingo-oopherectomy with surgical staging was done. The tumor was diagnosed as stage I retiform variant of sertoli-leydig cell tumor on histopathology and immunohistochemistry.
January 2015: Journal of Mid-life Health
https://www.readbyqxmd.com/read/25822949/-a-large-abdomen-can-camouflage-the-symptoms-of-an-ovarian-tumour
#18
Søren Ørnskov Top, Charlotte Møller, Mikkel Seyer-Hansen
Mucinous cystadenomas of the ovaries are benign tumours which can grow to sometimes gigantic proportions. Symptoms may be vague and due to complications hence the tumour can go undiagnosed for several years. This is a case report of a 48-year-old woman with a 40-kg ovarian tumour developed through 19 years. In spite of discomfort and complaints of the very large abdomen she had not received thorough examination previously. A large abdomen and discomfort should always lead to transabdominal ultrasound when transvaginal ultrasound - as in this case - does not diagnose the condition...
March 30, 2015: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/25653994/five-year-retrospective-case-series-of-adnexal-torsion
#19
Sobha Nair, Smitha Joy, Jayashree Nayar
AIMS AND OBJECTIVES: Adnexal torsion is a rare gynaecological emergency that requires an early surgical intervention to save the adnexa from irreversible damage .Our study is about clinical presentation and management approach of adnexal torsion in a tertiary care centre. STUDY DESIGN: Retrospective study. MATERIALS AND METHODS: Review of case records during the five years of 2008 November -2013 November in Amrita Institute of Medical Sciences, Kochi, India...
December 2014: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/25585556/-recommended-guidelines-of-diagnosis-for-women-with-an-ovarian-cyst-or-tumour
#20
REVIEW
D Fischerová
Transvaginal ultrasonography is the first-line and best imaging technique for characterising adnexal masses preoperatively. The optimal approach is the subjective assessment of ultrasound images by experts. An alternative evidence-based approach to the pre-surgical diagnosis of adnexal tumours is to use simple ultrasound rules or logistic regression model LR2 developed by the International Ovarian Tumor Analysis (IOTA) group. Their test performance matches subjective assessment by experienced examiners and should be adopted as the principal test to characterize masses as benign or malignant...
December 2014: Ceská Gynekologie
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