Müllerian Adenosarcoma of the Ovary

Shetty M, Monisha Shetty, Nirish Lal, Lal N, Nghiem Hanh Vu, Hanh V. Nghiem, Vu NH
Ultrasound quarterly · 2007 · vol. 23(3) , pp. 189–191 · doi:10.1097/ruq.0b013e31814b94f7 · PMID:17805167 · W1972064257
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This report details the imaging findings of an ovarian Müllerian adenosarcoma and reviews the literature, suggesting it should be considered in predominantly solid pelvic masses, especially with a history of endometriosis or low resistive index.

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This case report and literature review examines the imaging characteristics of Müllerian adenosarcoma, a rare neoplasm that can originate in extrauterine locations such as the ovary. The authors detail specific ultrasound and magnetic resonance imaging findings from a single ovarian case, noting that these tumors often present as predominantly solid pelvic masses. They highlight that a very low resistive index on ultrasound may serve as a suggestive diagnostic marker for this condition. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Müllerian adenosarcoma is a rare neoplasm that can arise in both uterine and extrauterine locations. This report describes the ultrasound and magnetic resonance imaging findings of one case of ovarian adenosarcoma and reviews the literature as to the previously described imaging findings. Adenosarcoma should be considered in patients with a predominantly solid pelvic mass on imaging, particularly in those with a history of endometriosis or findings compatible with endometriosis on ultrasound or magnetic resonance imaging. A very low resistive index on ultrasound may also be suggestive of this diagnosis.
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Case Report: CME Article Müllerian Adenosarcoma of the Ovary Case Report and Review of the Literature - Monisha Shetty - Nirish Lal - Hanh Vu Nghiem Abstract: Müllerian adenosarcoma is a rare neoplasm that can arise in both uterine and extrauterine locations. This report describes the ultrasound and magnetic resonance imaging findings of one case of ovarian adenosarcoma and reviews the literature as to the previously described imaging findings. Adenosarcoma should be considered in patients with a predominantly solid pelvic mass on imaging, particularly in those with a history of endometriosis or findings compatible with endometriosis on ultrasound or magnetic resonance imaging. A very low resistive index on ultrasound may also be suggestive of this diagnosis. Copyright © 2007 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosis

MeSH descriptors

Adenosarcoma Mixed Tumor, Mullerian Ovarian Neoplasms Adenosarcoma Adenosarcoma Adenosarcoma Adult Diagnosis, Differential Female Humans Magnetic Resonance Imaging Mixed Tumor, Mullerian Mixed Tumor, Mullerian Mixed Tumor, Mullerian Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Ultrasonography

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