Ovarian cancer during pregnancy.
Pamela I Causa AndrieuShaun A WahabStephanie NougaretIva PetkovskaPublished in: Abdominal radiology (New York) (2022)
Adnexal masses during pregnancy are a relatively uncommon entity. Their clinical management is challenging given the overlapping features of certain entities on imaging and histopathology, which can mimic malignancy, and the potential side effects to the mother and fetus, whether expectant management versus surgery is pursued. Ultrasonography with Doppler evaluation is the modality of choice for evaluating adnexal masses during pregnancy. Magnetic resonance imaging is the second-line modality useful when US findings are inconclusive/indeterminate. Most adnexal masses in pregnant patients are benign in origin (e.g., functional cysts, mature cystic teratoma, decidualization of endometrioma), but a few are malignant in origin (e.g., dysgerminoma, granulosa cell tumor). Most cases of adnexal masses are asymptomatic, but complications such as ovarian torsion can occur. This review aims to familiarize the radiologist with the imaging of adnexal lesions during pregnancy so that the radiologist can identify ovarian cancer. Specifically, the review will detail the most common benign and malignant adnexal masses in pregnancy, mimickers, and their corresponding imaging findings on US and MRI.
Keyphrases
- contrast enhanced
- magnetic resonance imaging
- fine needle aspiration
- high resolution
- magnetic resonance
- ultrasound guided
- computed tomography
- end stage renal disease
- diffusion weighted imaging
- ejection fraction
- minimally invasive
- chronic kidney disease
- pregnant women
- risk factors
- peritoneal dialysis
- metabolic syndrome
- adipose tissue
- polycystic ovary syndrome
- coronary artery bypass
- single cell
- climate change
- human health
- fluorescence imaging