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A Case Presentation : Decidualized Endometrioma Mimicking Ovarian Cancer during Pregnancy
Joint Authors
Yılmaz, Setenay Arzu
Doğan, Nasuh Utku
Çelik, Çetin
Tazegül, Aybike
Seçilmiş Kerimoğlu, Özlem
İncesu, Feyza Nur
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
During pregnancy, masses that are larger than 5 cm and appearing in the Doppler ultrasonography as having increased blood flow, echoes of heterogeneous density, and containing solid components are suspicious for malignancy; however, differential diagnosis of decidualized endometriomas should also be considered.
The patient was an 8 weeks pregnant primigravida.
The ultrasonographic evaluation showed a cystic mass of size 65 × 57 mm in the left ovary that was well circumscribed, heterogeneous, with highly dense internal echo, and containing a solid component of size 8 × 14 mm.
In the 12th week, the ultrasonographic examination revealed an increase in the size of the mass and increased arterial blood flow in the mass.
The patient underwent surgery.
It was observed that both ovaries were adherent in the Douglas pouch and that the left ovary contained an endometrioma of size 8cm.
While the capsule was being peeled, lesions of soft density, with irregular surfaces, and with adhesion in the Douglas pouch were observed.
The results of the frozen section revealed decidualized endometrioma and decidual structures.
Even in pregnant women when adnexal masses are encountered and the ultrasonography, Doppler, MRI, and CA 125 level analysis still do not favor endometriosis, decidualized endometrioma should be considered in the differential diagnosis.
American Psychological Association (APA)
Tazegül, Aybike& Seçilmiş Kerimoğlu, Özlem& İncesu, Feyza Nur& Doğan, Nasuh Utku& Yılmaz, Setenay Arzu& Çelik, Çetin. 2013. A Case Presentation : Decidualized Endometrioma Mimicking Ovarian Cancer during Pregnancy. Case Reports in Obstetrics and Gynecology،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-493908
Modern Language Association (MLA)
Tazegül, Aybike…[et al.]. A Case Presentation : Decidualized Endometrioma Mimicking Ovarian Cancer during Pregnancy. Case Reports in Obstetrics and Gynecology No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-493908
American Medical Association (AMA)
Tazegül, Aybike& Seçilmiş Kerimoğlu, Özlem& İncesu, Feyza Nur& Doğan, Nasuh Utku& Yılmaz, Setenay Arzu& Çelik, Çetin. A Case Presentation : Decidualized Endometrioma Mimicking Ovarian Cancer during Pregnancy. Case Reports in Obstetrics and Gynecology. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-493908
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-493908