MedPix® Patient Chart - Case No: 8711 :: Imaging - Review Images

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History

Age: 27 :: Gender: woman

Patient History

27 yo female presents for ultrasonographic evaluation of palpable mass noted on routine gyn exam. No significant past medical history

Exam


Physical Exam and Laboratory

5 cm left adnexal mass noted on bimanual exam during annual pap.

Negative urine HCG


Imaging

Imaging - Review Images for PT: 8711

Findings


Summary of Findings

Multiloculated, cystic mass in the left adnexa, with flow on doppler evaluation and predominantly anechoic cysts with thin septa.

Histology shows a single layer of mucin rich, non-ciliated columnar epithelium, no cytologic atypia.


Imaging

Imaging - Review Images for PT: 8711

Diffferential


Differential Diagnosis

The classic differential for complex adnexal mass is CHEETAH
Cystadenoma/cystadenocarcinoma
Hematoma/hemorrhagic cyst
Ectopic pregnancy
Endometrioma
Torsion of the ovary/Teratoma
Abscess (Tubovarian)/Appendicitis
Hydrosalpinx


Imaging

Imaging - Review Images for PT: 8711

Diagnosis


Case Diagnosis

Dx: Mucinous Cystadenoma


Dx Confirmed by: Pathologic diagnosis

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History:
27 yo female presents for ultrasonographic evaluation of palpable mass noted on routine gyn exam. No significant past medical history

Exam:
5 cm left adnexal mass noted on bimanual exam during annual pap.

Negative urine HCG

Findings:
Multiloculated, cystic mass in the left adnexa, with flow on doppler evaluation and predominantly anechoic cysts with thin septa.

Histology shows a single layer of mucin rich, non-ciliated columnar epithelium, no cytologic atypia.

Differential:
The classic differential for complex adnexal mass is CHEETAH
Cystadenoma/cystadenocarcinoma
Hematoma/hemorrhagic cyst
Ectopic pregnancy
Endometrioma
Torsion of the ovary/Teratoma
Abscess (Tubovarian)/Appendicitis
Hydrosalpinx


Diagnosis:
Mucinous Cystadenoma
Confirmed by:Pathologic diagnosis

Treatment and Followup:


Discussion:

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Case Contributor and Editor
Submitted by: Stephen L Foster - Author Info
Case/Image Editor: Stephanie A Bernard - Editor Info
Case Accepted: :: Revised: :: Submitted:
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