EURORAD ESR

Case 14862

Ovarian Fibroma in Pediatric Age

Author(s)
Ana C. Vieira; Marta Sousa; Fátima Heitor; Maria José Noruegas

(1) Hospital Espirito Santo de Evora, Radiology; Largo Senhor da Pobreza 7000 Évora, Portugal; Email:anacfsvieira@gmail.com; (2) Centro Hospitalar de Entre o Douro e Vouga; (3), (4) Hospital Pediátrico de Coimbra.
 
Patient
female, 14 year(s)
 
 
  • Figure 1
    Pelvic Ultrasound
     

    Heterogeneous lobulated mass, with areas of calcification, measuring 10x9 cm apparently with adnexal origin.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Heterogeneous lobulated mass with adnexal origin.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    CT
     

    Axial CT image pre-contrast injection confirming the areas of calcification.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Axial CT post contrast injection demonstrating a large pelvic mass relatively hypoattenuating and with areas of heterogeneous enhancement after contrast.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Coronal reconstruction demonstrating multiple areas of enhancement.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    MRI
     

    Homogeneous low signal intensity pelvic mass on T1-w images

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Heterogeneous pelvic mass with low signal intensity that contain scattered hyperintense areas representing cystic degeneration on T2-w images.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 4
    MRI T2

    T2 weighted image, axial plane, demonstrating a well-circumscribed mass with a low signal intensity band separating the tumour from the uterus, this particular feature is considered a characteristic feature of fibromas

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;
     
     
  • Figure 5
    MRI T1

    T1 fat sat, post-contrast weighted image showing heterogeneous enhancement

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
Heterogeneous lobulated mass, with areas of calcification, measuring 10x9 cm apparently with adnexal origin.
 
Heterogeneous lobulated mass with adnexal origin.
 
Axial CT image pre-contrast injection confirming the areas of calcification.
 
Axial CT post contrast injection demonstrating a large pelvic mass relatively hypoattenuating and with areas of heterogeneous enhancement after contrast.
 
Coronal reconstruction demonstrating multiple areas of enhancement.
 
Homogeneous low signal intensity pelvic mass on T1-w images
 
Heterogeneous pelvic mass with low signal intensity that contain scattered hyperintense areas representing cystic degeneration on T2-w images.
 
T2 weighted image, axial plane, demonstrating a well-circumscribed mass with a low signal intensity band separating the tumour from the uterus, this particular feature is considered a characteristic feature of fibromas
 
T1 fat sat, post-contrast weighted image showing heterogeneous enhancement
 
 
 
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