Dermoid cyst ultrasound
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [4]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [5]
Overview
Ultrasound
- Ultrasound may be helpful in the diagnosis of dermoid cyst.
- Findings on pelvic ultrasound suggestive of ovarian dermoid include:[1][2]
- Unilocular, cystic adnexal mass with some mural components
- Diffusely or partially echogenic mass with posterior sound attenuation from the sebaceous material and hair within the cyst cavity
- An echogenic interface at the edge of mass that obscures deep structures (the tip of the iceberg sign)
- Mural hyperechoic dermoid plug (rokitansky nodule)
- Echogenic, shadowing calcific or dental (tooth) components
- Presence of fluid-fluid levels
- Multiple thin, echogenic bands caused by hair in the cyst cavity (the dot-dash pattern)
Doppler Ultrasound
- Doppler ultrasound may be helpful in the exclusion of vascular masses and the findings may include:[1]
- No internal vascularity
- Internal vascularity needs further workup to exclude a malignant lesion.
- No internal vascularity
Gallery
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The ultrasound of the submental area showing a sizeable infrasonic formation with distinct boundaries.[3]
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The ultrasound of the submental area showing a sizeable infrasonic formation with distinct boundaries.[3]
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Tansabdominal USG: Uterus long axis - normal uterus, left adnexal ovarian dermoid cystic lesion noted.[4]
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Ovarian dermoid left adnexa[5]
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Ovarian dermoid right adnexa[6]
References
- ↑ 1.0 1.1 Mature (cystic) ovarian teratoma. Radiopedia. http://radiopaedia.org/articles/mature-cystic-ovarian-teratoma Accessed on February 19, 2016
- ↑ Patel MD, Feldstein VA, Lipson SD, Chen DC, Filly RA (1998). "Cystic teratomas of the ovary: diagnostic value of sonography". AJR Am J Roentgenol. 171 (4): 1061–5. doi:10.2214/ajr.171.4.9762997. PMID 9762997.
- ↑ 3.0 3.1 Makos C, Noussios G, Peios M, Gougousis S, Chouridis P (2011). "Dermoid cysts of the floor of the mouth: two case reports". Case Rep Med. 2011: 362170. doi:10.1155/2011/362170. PMC 3172983. PMID 21922020.
- ↑ Image courtesy of Dr Maulik S PatelRadiopaedia (original filehere). [1] CreativeCommons BY-SANC
- ↑ Image courtesy of Dr Maulik S PatelRadiopaedia (original filehere). [2] CreativeCommons BY-SANC
- ↑ Image courtesy of Dr Maulik S PatelRadiopaedia (original filehere). [3] CreativeCommons BY-SANC