JUM
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sammour, R. N.
Right arrow Articles by Ohel, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sammour, R. N.
Right arrow Articles by Ohel, G.
© 2005 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 24:1289-1294 • 0278-4297

Case Series

Decidualization of Ovarian Endometriosis During Pregnancy Mimicking Malignancy

Rami N. Sammour, MD, Zvi Leibovitz, MD, Israel Shapiro, MD, Shimon Degani, MD, Zohar Levitan, MD, Ariel Aharoni, MD, Joseph Tal, MD, Michael Lurie, MD and Gonen Ohel, MD

Departments of Obstetrics and Gynecology (R.N.S., Z.L., I.S., S.D., Z.L., A.A., J.T., G.O.) and Pathology (M.L.), Bnai-Zion Medical Center, Technion-Israel Institute of Technology, Haifa, Israel.

Address correspondence to Zvi Leibovitz, MD, Department of Obstetrics and Gynecology, Bnai-Zion Medical Center, PO Box 4940, Haifa 31048, Israel. E-mail: zvi.leibovitz{at}b-zion.org.il

Objective. The purpose of this series is to present deciduosis (the formation of extrauterine decidua) as one of the differential diagnoses of a malignant tumor during pregnancy. Methods. Two cases are described in which pregnant patients had a pelvic tumor. The lesions, which were diagnosed in the early second trimester, consisted of complex masses with an extensive blood supply and had a sonographic appearance of a malignant tumor. The high suspicion for malignancy necessitated surgical intervention. Results. During surgery, the lesions were observed to be of an ovarian origin with papillary excrescences covering their exterior. The lesions were excised and sent for histologic examination. The results showed a markedly decidualized endometriotic cyst in both cases. Conclusions. This phenomenon is a diagnostic challenge and should be considered in the differential diagnosis of a malignant mass during pregnancy.

Key Words: deciduosis • endometriosis • ovarian neoplasm • pregnancy

Abbreviations: RI, resistive index • 3D, 3-dimesional




This article has been cited by other articles:


Home page
 Hum ReprodHome page
M. Barbieri, E. Somigliana, S. Oneda, M. W. Ossola, B. Acaia, and L. Fedele
Decidualized ovarian endometriosis in pregnancy: a challenging diagnostic entity
Hum. Reprod., August 1, 2009; 24(8): 1818 - 1824.
[Abstract] [Full Text] [PDF]

Home page
 J Ultrasound MedHome page
E. Asch and D. Levine
Variations in Appearance of Endometriomas
J. Ultrasound Med., August 1, 2007; 26(8): 993 - 1002.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2005 by the American Institute of Ultrasound in Medicine.