Ovarian germ cell tumor ultrasound
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Ovarian germ cell tumor Microchapters |
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American Roentgen Ray Society Images of Ovarian germ cell tumor ultrasound |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]
Overview
It is difficult to distinguish ovarian germ cell tumors on ultrasound alone. Both solid and cystic lesions with calcification may be present. Dysgerminoma often appears as a hypoechoic mass while other ovarian germ cell tumors often have variable echogenicity. Ovarian teratoma may be further characterized by the presence of sebaceous and hair components arising from the Rokitansky protuberance.[1][2][3][4]
Ultrasound
Dysgerminomas[1]
- They may be seen as a septated ovarian mass with varying echotexture
- Color Doppler interrogation may show prominent flow signal within the fibrovascular septa
Ovarian dermoid[2]
- Ultrasound is the preferred imaging modality. Typically an ovarian dermoid is seen as a cystic adnexal mass with some mural components. Most lesions are unilocular.
- The spectrum of sonographic features includes:
- Diffusely or partially echogenic mass with posterior sound attenuation owing to sebaceous material and hair within the cyst cavity
- Echogenic interface at the edge of mass that obscures deep structures: the tip of the iceberg sign
- Mural hyperechoic Rokitansky nodule: dermoid plug
- 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
- Color Doppler: no internal vascularity
- Internal vascularity requires further workup to exclude a malignant lesion
Immature ovarian teratoma[4]
- Ultrasound appearance can be as a heterogeneous adnexal mass although is non-specific. Calcifications may be present
Ovarian yolk sac tumor[3]
- Tends to have both echogenic and hypoechoic components.
References
- ↑ 1.0 1.1 Ovarian dysgerminoma. http://radiopaedia.org/articles/ovarian-dysgerminoma. URL Accessed on November 11, 2015
- ↑ 2.0 2.1 Mature (cystic) ovarian teratoma. http://radiopaedia.org/articles/mature-cystic-ovarian-teratoma. URL Accessed on November 11, 2015
- ↑ 3.0 3.1 Ovarian yolk sac tumour. http://radiopaedia.org/articles/ovarian-yolk-sac-tumour. URL Accessed on November 11, 2015
- ↑ 4.0 4.1 Immature ovarian teratoma. http://radiopaedia.org/articles/immature-ovarian-teratoma. URL Accessed on November 11, 2015