Related Experiment Videos
Focal calcifications in otherwise ultrasonographically normal ovaries
K R Brandt1, A S Thurmond, J L McCarthy
1Department of Diagnostic Radiology, Mayo Clinic and Foundation, Rochester, MN 55905, USA.
Purpose:
To analyze the natural history, clinical importance, and need for follow-up in patients with discrete calcifications in otherwise ultrasonographically (US) normal ovaries.
Materials And Methods:
US scans obtained in 28 women with ovarian calcifications but without masses or other structural abnormalities were retrospectively reviewed. Follow-up findings were available in 15 women (mean age, 38.0 years; range, 26-72 years).
Results:
Two of the 15 women had trilateral calcifications. Thus, 17 ovaries had focal calcifications. Histopathologic confirmation was obtained in 10 cases; follow-up US findings, five cases; and follow-up laparoscopic findings, two cases. In 13 (76%) of the 17 ovaries, calcifications were not clinically important. In four (24%) of the 17, the calcification was the initial or only manifestation of a neoplasm. Lesions were benign in all four of these ovaries: There was one dermoid, one mucinous cystadenoma, and two adenofibromas.
Conclusion:
Until more data are available, findings of calcifications in ovaries with otherwise normal US findings warrant some form of follow-up.