Zusammenfassung
Wir berichten über einen eigenartigen Ultraschallbefund eines Ovarialtumors, der aufgrund seiner gleichförmig konzentrischen, echogenen Binnenstruktur in der 2D- und 3D-Sonographie auffiel. Die histologische Beurteilung war in der Diagnose eines Dermoids zwar eindeutig, die Entwicklung des makroskopischen Aspekts blieb jedoch ohne schlüssige Erklärung.
Abstract
We describe unusual sonographic findings in a patient with an ovarian tumor. Two-dimensional and three-dimensional sonography showed a tumor with a homogenous, concentric and echogenic structure. Histology confirmed a benign cystic teratoma (dermoid cyst).
Literatur
-
1
Achiron, R.,, Schejter, E. , Malinger, G. , Zakut H. .
Observation on the Ultrasound Diagnosis of Ovarian Neoplasms.
Arch. Gynecol. Obstet..
241
1987;
183-190
-
2
Bonilla-Musoles, F.,, Raya, F. , Newton, G. , Osborne Ph. D. .
Three-Dimensional Ultrasound Evaluation of Ovarian Masses.
Gynecologic Oncology.
59
1995;
129-135
-
3
Comerci, J. T.,, Licciardi, F. , Bergh, P. A. , Gregori, C. , Breen J. L. .
Mature Cystic Teratoma: A Clinicopathologic Evaluation of 517 Cases and Review of the Literature.
Obstet. Gynecol..
84
1994;
22-28
-
4
Ekici, E.,, Soyal, M. , Kara, S. , Dogan, M. , Gokmen O. .
The efficiency of ultrasonography in the diagnosis of dermoid cysts.
Zentralbl. Gynakol..
118
1996;
136-141
-
5
Herrmann, U. J..
Sonographic Patterns of Ovarian Tumors.
Clin. Obstet. Gynceol..
36
1993;
375-383
-
6
Hertzberg, B. S.,, Kliewer M. A. .
Sonography of Benign Cystic Teratome of the Ovary: Pitfalls in Diagnosis.
AJR.
167
1996;
1127-1133
-
7
Kawakami, S.,, et al..
Solid Mature Teratoma of the Ovary: Appearances at MR Imaging.
Comput. Med. Imaging Graph..
18 (3)
1994;
203-207
-
8
Kuo, H. C.,, et al..
The primary application of three-dimensional ultrasonography in obstetrics.
Am. J. Obstet. Gynecol..
166 (3)
1992;
880-886
-
9 Lawrence, W. D.,, Papas-Corden P.. Pathology of ovarian neoplasia. Textbook gynecologic oncology. London; W. B. Saunders 1st ed. 1991: 114-150
-
10
Prömpeler, H. J.,, Karck, U. , Madjor, H. , Lattermann, U. , Breckwoldt M. .
Sonographische Diagnostik von Dermoidzysten (Sonomorphologie und Vaskularisation).
Geburtshilfe und Frauenheilkunde.
57
1997;
463-467
-
11
Quinn, S. F.,, Erickson, S. , Black W. C. .
Cystic ovarian teratomas: the sonographic appearance of the dermoid plug.
Radiology.
155
1985;
477-478
-
12
Ulrich, U.,, Keckstein, J. , Paulus, W. , Sasse L. .
Endoscopic surgery for mature teratoma of the ovary.
Surg. Endosc..
10
1996;
900-903
-
13
Sassone, A. M.,, Timor-Tritsch, I. E. , Artner, A. , Westhoff, C. , Warren W. B. .
Transvaginal sonographic characterization of ovarian disease: Evaluation of a new scoring system to predict ovarian malignancy.
Obstet. Gynecol..
78
1991;
70-76
Dr. S. Holthaus
Abteilung für Pränatale Diagnostik und Therapie der Universitäts-Frauenklinik Bonn
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