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EP34.38: Decidualised endometrioma during pregnancy: a cyst classified as malignant according the IOTA simple rules
Author(s) -
Rams N.,
Matias I.,
Pero M.,
Soler C.,
Rovira R.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.21828
Subject(s) - medicine , cyst , endometriosis , malignancy , ultrasound , ovarian cyst , laparoscopy , radiology , ovary , infertility , pregnancy , gynecology , surgery , pathology , genetics , biology , endocrinology
DESCRIPTION. A 38-year-old woman, nulliparous, who was referred to our center to perform an infertility study. In the first transvaginal ultrasound, we visualized a unilocular cyst in the left ovary of 30 x 41 x 36 mm with irregular wall and slightly hyperechogenic (score color 1). Ecogenicity of cyst fluid: mixed. The first ultrasound diagnosis was a probably atypical endometrioma and a new ultrasound control was requested in 3 months. The patient underwent in vitro fertilization in an external center, so she came to control 5 months later, 13+6 weeks pregnant. Ultrasound showed sonographic changes in the cyst. On this occasion, the same explorer described it as unilocular-solid cyst of 26 x 29 x 36 mm, anechoic, with multiple papillary projections (>4) that were highly vascularized on Doppler examination. According to the IOTA Simple Rules, it was classified as probably malignant.