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Ultrasonography of spontaneously resolving ovarian masses

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Author(s)
김정식이희정이성문김홍우성구김종인
Alternative Author(s)
Kim, Jung SikLee, Hee JungLee, Sung MunKim, HongWoo, Seong KuKim, Jong In
Publication Year
1993
Abstract
To evaluate the sonographic characteristics of functional ovarian cyst with or without hemorrhage, we peformeda prospective analysis of 56 cases of benign, cystic ovarian mass that is not related to pregnancy inpremenopausal women. At least two examinations with transabdominal and/or transvaginal US were performed in allpatients over one menstrual cycle time interval . US patterns of the masses were cathgorized into 5 types : type A; anechoic, unilocular cyst, type B ; unilocular cyst with internal echoes. type C ; septated cyst, type D ;complex cyst, type E ; solid mass with posterior reenhancement. Fifty five percent (31 cases) of the massesresolved spontaneously on follow-up US examination. In these cases with spontaneous resolution, 11 cases (35.5%)were simple cyst, while the remaining 20 cases (64.5%) were hemorrhagic ovarian cysts having variable sonographicfindings of types B to E. Eleven cases with no resolution were proven surgically as endometrioma (n=4),hemorrhagic parovarian cyst (n=2), serous cystadenoma (n=2), mucinous cystadenoma (n=2), and tuboovarian abscess(n=1). Sonographic differentiation of these cases from hemorrhagic cysts was difficult. in conclusion, as thefunctional ovarian cysts, especially the hemorrhagic cysts, are common and show variable sonographic features, werecommend a follow-up US examination after on or two mentrual cycles in all premenopausal women with benign,cystic ovarian mass to eliminate unnecessary operation.
Keyword : Ovary,neoplasms
Alternative Title
추적검사상 자연소실되는 난소종괴들의 초음파소견
Department
Dept. of Radiology (영상의학)
Dept. of Obstetrics & Gynecology (산부인과학)
Publisher
School of Medicine
Citation
대한초음파의학회지, Vol.12(2) : 194-198, 1993
Type
Article
ISSN
1015-7085
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/39689
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