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Related Experiment Videos

Solid pelvic masses caused by endometriosis: MR imaging features

E S Siegelman1, E Outwater, T Wang

  • 1Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5244.

AJR. American Journal of Roentgenology
|August 1, 1994
PubMed
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Magnetic resonance (MR) imaging can identify solid masses in pelvic endometriosis. These findings may help differentiate endometriosis from peritoneal metastases, aiding diagnosis.

Area of Science:

  • Radiology
  • Oncology
  • Gynecology

Background:

  • Solid fibrotic nodules of endometriosis can mimic peritoneal metastases on imaging.
  • Accurate differentiation is crucial for appropriate patient management.

Purpose of the Study:

  • To analyze the magnetic resonance (MR) appearance of solid masses associated with pelvic endometriosis.
  • To identify imaging features that distinguish endometriosis from peritoneal metastases.

Main Methods:

  • Retrospective review of pelvic MR images from 13 patients with pathologically proven endometriosis.
  • Analysis of signal intensity, size, and enhancement patterns of eight detected solid peritoneal masses by two radiologists.

Main Results:

  • Eight solid masses (1-5 cm) were identified in the cul-de-sac, bladder, and rectal walls.

Related Experiment Videos

  • Seven masses showed intermediate T1, low T2 signal intensity, and contrast enhancement on MR imaging.
  • Histopathology confirmed fibrosis with endometriosis in surgically sampled masses.
  • Conclusions:

    • MR imaging demonstrates enhancing solid masses in patients with endometriosis.
    • Specific MR features of these masses may aid in differentiating endometriosis from peritoneal metastases.