Imaging of gynecological disease (6): clinical and ultrasound characteristics of XXXX .

@entity1 @entity43 @entity249 @entity5 @entity843 @entity1866 @entity158 @entity4134 @entity1118 @entity5000
OBJECTIVES: To describe the clinical history and ultrasound findings in @entity1 with @entity43 . METHODS: This was a retrospective study of @entity1 with a histological diagnosis of @entity43 who had undergone preoperative ultrasound examination. The @entity1 were identified from the databases of 11 ultrasound centers. The @entity5 were described by the principal investigator at each contributing center on the basis of ultrasound images, ultrasound reports and research protocols (when applicable) using the terms and definitions of the International @entity43 Analysis (IOTA) group. In addition, three authors reviewed all available electronic ultrasound images (gray-scale images and color/power Doppler images were available for 18 @entity1 and 14 @entity1 , respectively) and described them using subjective evaluation of gray-scale and color Doppler ultrasound findings (here called pattern recognition). RESULTS: Twenty-one @entity1 with @entity43 were identified (including one @entity1 with bilateral masses). Twenty @entity1 had a primary @entity43 (including the one with bilateral masses) and one @entity1 had a recurrence of @entity5000 in her retained ovary. One of the 21 @entity1 was pregnant. All @entity5 except one were @entity5000 , one being a mixed @entity5 with 30% @entity5000 component. Median age was 20 (range, 16-31) years. Information on clinical symptoms was available for 18 @entity1 . In four @entity1 , the @entity5 was detected incidentally, whereas 14 @entity1 presented with one or more of the following symptoms: acute @entity158 (n = 4), @entity1118 (n = 8), bloating (n = 8), @entity1866 (n = 5) and @entity249 problems (n = 1). One (5%) @entity1 had @entity843 . Using the IOTA terms and definitions, all but one @entity5000 were moderately (43%) or very well (50%) vascularized solid @entity5 . One @entity5 was multilocular-solid. According to pattern recognition, most @entity5000 were highly vascularized, purely solid @entity5 with heterogeneous internal echogenicity divided into several lobules, had a smooth and sometimes lobulated contour and were well-defined relative to the surrounding organs. CONCLUSION: The ultrasound finding of a highly vascularized, large, solid, lobulated @entity4134 with irregular internal echogenicity in a @entity1 20-30 years old should raise the suspicion of @entity43 .
