Magnetic Resonance Imaging of Ovarian Cancer Arising in Endometriomas

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Magnetic resonance imaging revealed ovarian cancer as an enhancing mass within a blood-filled adnexal cyst in two cases of endometrioma-associated malignancy.

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This case report describes the magnetic resonance imaging characteristics of ovarian cancer developing within endometriomas in two patients. The authors identified that both malignancies appeared as enhancing masses situated inside blood-filled adnexal cysts on MRI scans. They note that recognizing this specific radiological pattern is crucial for identifying superimposed malignancy, which can lead to earlier and more effective treatment strategies. This paper is centrally about endometriosis — specifically the risk of malignant transformation of endometriomas into ovarian cancer.

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Abstract

The magnetic resonance imaging (MRI) findings in 2 cases of ovarian cancer arising in an endometrioma are presented. In both cases, the cancer was evident as an enhancing mass within a blood-filled adnexal cyst. The MRI findings of an enhancing mass within a blood-filled adnexal cyst should prompt consideration of ovarian cancer arising in an endometrioma, facilitating recognition of a superimposed malignancy and potentially allowing for earlier and more efficacious treatment.
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Case Report: Abdominal Imaging Magnetic Resonance Imaging of Ovarian Cancer Arising in Endometriomas - Troy T. Wu - Fergus V. Coakley - Aliya Qayyum - Benjamin M. Yeh - Bonnie N. Joe - Lee-may Chen Journal of Computer Assisted Tomography 28(6):p 836-838, November-December 2004. Abstract: The magnetic resonance imaging (MRI) findings in 2 cases of ovarian cancer arising in an endometrioma are presented. In both cases, the cancer was evident as an enhancing mass within a blood-filled adnexal cyst. The MRI findings of an enhancing mass within a blood-filled adnexal cyst should prompt consideration of ovarian cancer arising in an endometrioma, facilitating recognition of a superimposed malignancy and potentially allowing for earlier and more efficacious treatment. Copyright © 2004 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Magnetic Resonance Imaging Ovarian Cysts Ovarian Neoplasms Adenocarcinoma, Clear Cell Adenocarcinoma, Clear Cell Adult Carcinoma Carcinoma Contrast Media Endometriosis Female Humans Image Enhancement Middle Aged Ovarian Cysts Ovarian Neoplasms Retrospective Studies

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