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The spectrum of sonographic findings in endometriomas.
Author(s) -
Athey P A,
Diment D D
Publication year - 1989
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.1989.8.9.487
Subject(s) - medicine , echogenicity , radiology , cystadenoma , cyst , ultrasound , pancreas
The sonographic features of 40 pathologically proven endometriomas in 32 patients were reviewed to evaluate their sonographic spectrum. Acoustic enhancement was present in 88% and indeterminate in 10% due to technical factors. With respect to internal echo texture, the majority of endometriomas were predominantly anechoic (80%): 7 were totally anechoic; 4 contained septations; 12 contained scattered internal echoes, with or without septations; and 9 contained dependent echoes, with or without septations. Seven endometriomas contained diffuse, low‐level internal echoes and were considered hypoechoic, but still fluid‐containing masses. Only 1 was echogenic. The overall appearance frequently simulated that of hemorrhagic ovarian cyst, but in some cases endometriomas resembled tubo‐ovarian abscess, cystadenoma/cystadenocarcinoma, or ectopic pregnancy.