Solid ovarian tumour: histology unknown

Case contributed by Dr Vougiouklis Nikos

Presentation

Metrorhagia

Patient Data

Age: 48
Gender: Female

MRI shows an ovarian mass with low signal in T1 and T2 images and homogeneous enhancement.

No vascular signal void is seen between the uterus and the mass. 

Case Discussion

Fibrothecomas and Brenner tumours have low signal intensity on T1- and T2-weighted images, representing the fibrous component.  Brenner tumors are reported to show lower signal intensity on T2-weighted images than other solid tumours

 Scattered high-signal-intensity areas in the mass represent edema or cystic degeneration. In masses with cystic degeneration, the solid component is usually located peripherally.

Differential considerations include uterine leiomyomata and other ovarian masses with fibrous components (fibroma, cystadenofibroma, Fibrothecomas and Brenner tumour).  

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Case information

rID: 17126
Case created: 18th Mar 2012
Last edited: 22nd Sep 2015
System: Gynaecology
Inclusion in quiz mode: Included

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