Differential Diagnosis for Female Pelvic Masses

Alessandrino, Francesco; Dellafiore, Carolina; Eshja, Esmeralda; Alfano, Francesco; Ricci, G; Cassani, Chiara; Fianza, A. La

doi:10.5772/53139

Cited by 8 publications

(6 citation statements)

References 25 publications

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“…29 We can also classify pelvic masses based on predominant components of the mass such as cystic, solid, fat, haemorrhage, myxoid matrix and calcification (Table 3). [30][31][32][33][34] The classifications that are based on anatomical compartments and predominant components are more useful for reporting radiologists, in order to develop an approach for lesion characterisation and provide information relevant to management.…”

Section: Differential Diagnosis Of Complex Pelvic Masses In Femalementioning

confidence: 99%

Multimodality imaging review of complex pelvic lesions in female pelvis

Chandramohan

Bhat

John

et al. 2020

BJR

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Complex pelvic lesions can originate from various anatomical structures in the pelvis and pose a diagnostic dilemma due to a wide range of possible diagnoses. Accurate characterisation of these lesions would often require an algorithmic approach, which incorporates clinical findings, sequential use of multiple imaging modalities and a multiparametric approach. This approach usually aims at identifying key imaging features, which aid in anatomical localisation, morphology and tissue characterisation. There have been various attempts to standardise the lexicon used for describing adnexal masses in female patients; stratify their risk of cancer and suggest appropriate next steps in the management pathway. Through this review, we extend this approach to complex pelvic masses in female pelvis in general and will focus on optimal use of different imaging modalities to arrive at definitive diagnosis or meaningful differential diagnosis. We will also discuss potential pitfalls of imaging diagnosis and common mimics.

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Section: Differential Diagnosis Of Complex Pelvic Masses In Femalementioning

confidence: 99%

Multimodality imaging review of complex pelvic lesions in female pelvis

Chandramohan

Bhat

John

et al. 2020

BJR

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“…УзИ является методом визуализации «первой линии» для диагностики объемных образований малого таза и позволяет подтвердить наличие опухоли, идентифицировать орган, из которого исходит образование, а также по ультразвуковым признакам определить вероятность малигнизации (в-признаки, М-признаки IOTA). МРт является неинвазивным, безопасным методом выбора в уточняющей дифференциальной диагностике при неудовлетворительной УзИ-визуализации / при наличии сомнительного образования (согласно критериям IOTA) [24,25].…”

Section: визуализационные методы диагностики герминогенных опухолей яичникаunclassified

“…Применение новых методик МРт позволяет получить дополнительные данные о степени злокачественности процесса. Диффузионновзвешенная МРт (diffusion-weighted, Дв-МРт), основанная на определении микродиффузии воды во внутриклеточные и внеклеточные пространства, позволяет определить коэффициент диффузии (apparent diffusion coefficient, ADC) и таким образом предположить вероятность малигнизации образования [25,[27][28][29]. Дв-МРт позволяет улучшить диагностику перитонеальных имплантов, местного рецидива заболевания, выявить признаки лимфогенного метастазирования.…”

Section: визуализационные методы диагностики герминогенных опухолей яичникаunclassified

“…Мультисрезовая Кт (МСКт) с контрастированием благодаря высокой чувствительности и возможности одномоментной оценки большого объема при низкой тканевой дифференциации используется преимущественно для диагностики отдаленных метастазов и стадирования злокачественных новообразований [25]. Основными недостатками/ограничениями МСКт являются воздействие ионизирующего излучения, наличие противопоказаний к введению контрастного препарата, относительная низкая специфичность при дифференциальной диагностике образований яичника [29,30].…”

Section: визуализационные методы диагностики герминогенных опухолей яичникаunclassified

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Ovarian germ cell tumors - a modern approach to the problem

et al. 2016

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“…The uro-genital system and portions of other organs and systems usually generate pelvic masses even in para-physiologic conditions. 1 Most pelvic masses are diagnosed through classical physical examination, including rectovaginal examination. Ultrasound plays a vital role in diagnosis and classification of symptomatic and sometimes asymptomatic pelvic masses.…”

Section: Introductionmentioning

confidence: 99%

Transabdominal Ultrasonographic Evaluation of Pelvic Masses and Comparsion with Transvaginal Ultrasonography

Tamilarasan¹,

Ameen²,

Jadhav³

2019

IJCMSR

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Results: Majority (47.5%) of the lesions were of uterine origin as per USG sites. Transabdominal USG diagnosis showed 28.75% of lesions to be originating from ovaries. Transvaginal USG diagnosis depicted 48.64% of fibroid cases. Transabdominal ultrasound had a sensitivity of 92.00% and a specificity of 100% in diagnosing fibroid. It showed an overall sensitivity of 93.34% and specificity of 100%. In diagnosis of ovarian lesions, Ultrasonography by using IOTA scoring system showed 98.45% sensitivity and 100% specificity. Conclusion: Transabdominal sonography has proved to be a very useful highly diagnostic and a reliable method with good sensitivity and specificity.

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Differential Diagnosis for Female Pelvic Masses

Cited by 8 publications

References 25 publications

Multimodality imaging review of complex pelvic lesions in female pelvis

Multimodality imaging review of complex pelvic lesions in female pelvis

Ovarian germ cell tumors - a modern approach to the problem

Transabdominal Ultrasonographic Evaluation of Pelvic Masses and Comparsion with Transvaginal Ultrasonography

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