Struma ovarii echocardiography/ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

• There are no echocardiography/ultrasound findings associated with [disease name].

OR

• Echocardiography/ultrasound may be helpful in the diagnosis of [disease name]. Findings on an echocardiography/ultrasound suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

• There are no echocardiography/ultrasound findings associated with [disease name]. However, an echocardiography/ultrasound may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].

Ultrasound

• Ultrasound may be helpful in the diagnosis of Struma ovarii. Findings on an echocardiography/ultrasound suggestive of Struma ovarii occurred more frequently (68.8%) in the right adnexa and was seen with a normal CA-125 level.
• Doppler flow study may help in the preoperative diagnosis of struma ovarii. In struma ovarii the blood flow signals may be more commonly detected from the center of the echoic lesion and areas of low resistance to flow.

Findings on an ultrasound suggestive of Struma ovarii include:

• Transvaginal US shows solid and cystic components of the ovary and also calcifications.

(a) Transvaginal US image shows a complex mass arising from the left ovary with solid and cystic components (b) Color Doppler examination of the same mass demonstrates high vascularity in the solid portion of the left ovarian mass.

(a) Transvaginal US image shows a complex mass with solid and cystic components and calcifications (arrow). (b) Corresponding color flow Doppler image of the lesion.

Transabdomen grayscale US image shows a heterogeneous lesion demonstrating solid and cystic portions arising from the left ovary.