Name : Morteza
Family : Sanei Taheri
Affiliation :Radiology Department,Shohada Tajrish Hospital,SBMU
Academic Degree : Associate Professor of Radiology
Resident : Afarin Sadeghian
Genital Female Imaging
Gender : Female
Age : 40
40-year-old patient presented with abnormal vaginal bleeding,refer for R/O of EP.
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.
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.
RadioGraphics 2002; 22:1305–1325