Ultrasound pattern and diagnostic accuracy of primary ovarian endometrioma and its recurrence: a pictorial essay

Vladut Sasaran, Vlăduţ Săsăran, Codruta Maria Alexa Bad, Daniel Mureșan, Daniel Muresan, Lucian Puscasiu, Lucian Pușcașiu
Medical ultrasonography · 2020 · vol. 22(2) , pp. 230 · doi:10.11152/mu-2331 · PMID:32190854 · W3008117524
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This pictorial essay reviews ultrasound patterns of primary and recurrent ovarian endometriomas, finding peripheral healthy ovarian tissue distinguishes recurrence and papillary projections suggest atypia, with menopause altering echogenicity.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This pictorial essay describes the authors’ experience using 2D and color Doppler ultrasound to characterize ultrasound patterns of primary ovarian endometrioma and recurrent endometrioma, comparing imaging findings with histopathology and showing examples that also included false-positive diagnoses. A key imaging distinction reported is that primary endometriomas retain peripheral healthy ovarian tissue, whereas recurrences do not. The essay further notes that papillary projections or solid-type echostructures reduce the likelihood of an endometrioma without histological atypia, and that postmenopausal status alters ultrasound features by decreasing homogeneity and echogenicity. This paper is centrally about endometriosis — specifically, ultrasound patterns and diagnostic accuracy for primary and recurrent ovarian endometriomas.

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Abstract

The authors present their experience in ultrasound patterns of primary and recurrent endometrioma and correspondence with histopathological results, using 2D and color Doppler ultrasound examination. Cases of primary and recurrent endometriomas, as well as other false positive diagnosis are presented. The presence of the peripheral, healthy ovarian tissue, is the principal difference between the primary endometrioma and their recurrence. The arousal of papillary projections or solid-type echostructure decreases the likelihood of an endometrioma without histological atypia. Postmenopause modifies the ultrasound features of endometrioma by decreasing homogeneity and echogenicity.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Ovarian Diseases Ultrasonography Endometriosis Female Humans Ovarian Diseases Ovary Recurrence Reproducibility of Results Ultrasonography

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (16)

Cited by (4)

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