Ovarian fibroma: findings by contrast-enhanced MRI

Schwartz, Rebecca K.; Levine, Deborah; Hatabu, Hiroto; Rr, Edelman

doi:10.1007/s002619900257

Cited by 25 publications

(11 citation statements)

References 8 publications

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“…Fourthly, supplementary computerized tomography and magnetic resonance imaging may help to improve the diagnostic accuracy. Most ovarian fi bromas appear as a solid mass with delayed accumulation of contrast medium on computerized tomography scan and show marked T 1 and T 2 hypointensities on magnetic resonance imaging [12,13] . Although the ultimate diagnosis depends on the intraoperative fi ndings and should be confi rmed histologically, yet a good preoperative assessment is important for treatment planning and patient counseling.…”

Section: Discussionmentioning

confidence: 99%

Ovarian Fibroma: A Review on the Clinical Characteristics, Diagnostic Difficulties, and Management Options of 23 Cases

Leung

Yuen²

2006

Gynecol Obstet Invest

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Aim: We review clinical characteristics, diagnostic difficulties, and our experience in the surgical management of ovarian fibromas. Method: Twenty-three women with the operative diagnosis of an ovarian fibroma managed between January 1995 and August 2004 were reviewed retrospectively. Results: These patients comprised 1% of all benign ovarian tumors seen over this study period. The median age was 45 years, and 11 patients (47.8%) were postmenopausal. The main presenting symptom was abdominal pain (43.5%). The diagnosis of an ovarian fibroma or a solid ovarian tumor was correctly made preoperatively in only 5 patients (21.7%). All patients underwent surgical treatment: 18 by laparotomy and 5 by laparoscopy. All tumors were unilateral, and the median size was 13 cm. Fourteen patients underwent conservative surgery, and 9 had total abdominal hysterectomy with bilateral salpingo-oophorectomy. Two cases of fibrosarcoma were reviewed on the final pathology. Conclusions: Gynecologists should be aware of this group of ovarian tumors despite their uncommon occurrence. There are clinical clues to differentiate an ovarian fibroma from uterine fibroid and ovarian malignancy. Surgical removal of these solid ovarian tumors is recommended because of the low probability of malignancy. Minimal-access surgery is an option, especially when the tumor is of moderate or small size.

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Section: Discussionmentioning

confidence: 99%

Ovarian Fibroma: A Review on the Clinical Characteristics, Diagnostic Difficulties, and Management Options of 23 Cases

Leung

Yuen²

2006

Gynecol Obstet Invest

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“…We consider that the areas of low signal intensity on both T1-and T2-weighted images should suggest the diagnosis of probable ovarian fibroma or thecoma [9].…”

Section: Discussionmentioning

confidence: 99%

“…They represent approximately 4 % of all ovarian tumors and are often associated with ascites or torsion [9]. It has been reported that ovarian fibromas have low signal intensity on both T1-and T2-weighted MR images [7,8,9,10,11,12].…”

Section: Discussionmentioning

confidence: 99%

Twisted ovarian fibroma with high signal intensity on T1-weighted MR image: a new sign of torsion of ovarian tumors?

et al. 2001

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Torsion of ovarian tumors is often difficult to diagnose, because of non-specific clinical, laboratory, and imaging findings. We report a case of twisted ovarian fibroma whose main characteristic was the presence of large areas of high signal intensity on both T1- and T2-weighted MR images due to the passive congestion of the mass. This previously unreported finding should be considered a sign of ovarian torsion and may facilitate prompt surgical intervention.

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“…Ovarian fibromas are well circumscribed solid tumours which demonstrate low signal intensity on both T1- and T2-weighted images, not unlike leiomyomas. Fibromas show minimal enhancement [36,37] . The multi-planar imaging allows differentiation of an ovarian fibroma from an exophytic leiomyoma or other tumours [20,21] .…”

Section: Diagnosis/characterisation Of Pelvic Massesmentioning

confidence: 99%

MR imaging in ovarian cancer

Sohaib

Reznek²

2007

Cancer Imaging

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Magnetic resonance (MR) imaging is increasingly being used in patients with gynaecological disorders due to its high contrast resolution compared to computed tomography (CT) and ultrasound. In women presenting with an adnexal mass, ultrasound remains the primary imaging modality in the detection and characterisation of such lesions. However, in recent years overwhelming evidence has accumulated for the use of MR imaging in patients with indeterminate adnexal masses particularly in younger women and where disease markers are unhelpful. In staging ovarian cancer and for evaluating therapeutic response MR imaging is as accurate as CT but CT remains the imaging modality of choice because it is more widely available and quicker. This article reviews that evidence and outlines a place for the use of MR imaging in ovarian cancer.

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Ovarian fibroma: findings by contrast-enhanced MRI

Cited by 25 publications

References 8 publications

Ovarian Fibroma: A Review on the Clinical Characteristics, Diagnostic Difficulties, and Management Options of 23 Cases

Ovarian Fibroma: A Review on the Clinical Characteristics, Diagnostic Difficulties, and Management Options of 23 Cases

Twisted ovarian fibroma with high signal intensity on T1-weighted MR image: a new sign of torsion of ovarian tumors?

MR imaging in ovarian cancer

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