40-year-old patient presented with abnormal vaginal bleeding

 

Images

Doctor's Information

Name : Morteza
Family : Sanei Taheri
Affiliation :Radiology Department,Shohada Tajrish Hospital,SBMU
Academic Degree : Associate Professor of Radiology
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Afarin Sadeghian

 

Case Section

Genital Female Imaging

 

Patient's Information

Gender : Female
Age : 40

 

Clinical Summary

40-year-old patient presented with abnormal vaginal bleeding,refer for R/O of EP.

 

Imaging Findings

MR images demonstrate a large multilocular cystic mass anterior to the uterus that includes hyperintense fluid on T1-weighted sequences without signal loss on fat-suppressed images associated with various gradations of decrease signal on T2-weighted sequences indicative of endometrioma.The mass contains solid components and intracystic papillary projections which have low signal intensity on both T1- and T2-weightd sequences along with areas of bright signal on heavy T2-weighted image.Mild endometrial thickening can also be seen.

 

Differential Diagnosis

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Final Diagnosis

Endometrioid carcinoma in endometrial cyst

 

Discussion (Related Text)

Endometrioid carcinomas represent approximately 10%–15% of all ovarian carcinomas. They are almost always malignant. About 15%–30% are associated with synchronous endometrial carcinoma or endometrial hyperplasia. Although rare, endometrioid carcinoma is the most common malignant neoplasm arising from endometriosis, followed by clear cell carcinoma. Bilateral involvement is seen in 30%– 50% of cases. Imaging findings are non-specific and include a large, complex cystic mass with solid components. Endometrial thickening can also be seen on imaging studies.

 

References

RadioGraphics 2002; 22:1305–1325

 

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