Cystic mass in pelvis, endometrioma vs dermoid vs inclusion cysts cyst, ultrasound imaging overview скачать в хорошем качестве

Cystic mass in pelvis, endometrioma vs dermoid vs inclusion cysts cyst, ultrasound imaging overview

On transabdominal ultrasound, a 5 cm cystic mass is identified posterior to the uterus, appearing predominantly anechoic with internal echoes indicative of particulate matter. No vascularity is detected on color Doppler imaging. Transvaginal ultrasound provides clearer visualization, confirming the cystic nature and absence of vascularity. Differential diagnoses include: Ovarian Cyst: Benign and typically self-resolving, may contain blood clots. Endometrioma: Characterized by a "ground glass" appearance due to old blood, often requiring monitoring or surgery if symptomatic. Peritoneal Inclusion Cyst: Adjacent to the ovary, containing complex fluid, managed conservatively unless symptomatic. Paraovarian Cyst: Thin-walled and usually benign, requiring intervention only if symptomatic. Hydrosalpinx: Fluid-filled fallopian tube, may necessitate surgical intervention for pain or infertility. Cystic Adenomyosis: Rare, cystic spaces within the myometrium, managed based on symptoms. Abscess: Complex cystic appearance, needing antibiotics and possibly drainage. Müllerian Duct Anomalies: Congenital cystic structures, managed according to symptoms and reproductive plans. Prognosis is generally good for benign ovarian cysts, paraovarian cysts, and peritoneal inclusion cysts, while conditions like endometriomas and adenomyosis may require more intensive management. Treatment options range from conservative monitoring and symptomatic relief to surgical intervention, with a multidisciplinary approach often necessary for optimal outcomes.