Top Tips for Gynaecological Ultrasound. Catherine Kirkpatrick Consultant Sonographer Dublin Oct 2018
|
|
- Scott Powell
- 5 years ago
- Views:
Transcription
1 Top Tips for Gynaecological Ultrasound Catherine Kirkpatrick Consultant Sonographer Dublin Oct 2018
2 We can all scan a pelvis so what can we do to improve? Uterus, endometrium and ovaries, got it covered! Or have we?? Tricky to cover everything thought provoking and signposting!
3 History of the female condition
4 Start at the very beginning.. The patient history is essential Return poor requests and ask for more clinical history Ask your own clinical history whilst the patient is in front of you Know your anatomy and physiology Patient Prep
5 The Ovaries Scanning the ovaries easy? How could we improve what information we provide the clinician?
6 What would we say about this? Simple Complex
7 Could we use a scoring system to assess?
8 Could we use a scoring system to assess?
9 IOTA Classification system for ovarian masses Simple descriptors Prediction of malignancy Standardisation of terminology Becomes more useful in pathway management for clinicians
10 Benign Malignant Functional Cysts Endometrioma Serous Cystadenoma Serous cystadenocarcinoma Mucinous Cystadenocarcinoma Mucinous Cystadenoma Mature teratoma/dermoids Endometrioid Carcinoma Clear Cell Carcinoma Malignant Teratoma Fibroma Thecoma Granulosa Cell Tumour Secondary Cancers (Breast & GI)
11 IOTA Normal Normal functional Indeterminate /borderline Malignant
12 IOTA definitions >3mm
13 Simple Descriptors Case courtesy of Dr Maulik S Patel, <a href=" From the case <a href=" </a> Johnson, S 2017
14 No Simple Descriptors Apply? Use the IOTA rules Taken from: Johnson, S. 2017
15 No Simple Descriptors Apply? Use the IOTA rules Taken from: Johnson, S. 2017
16 Rules Benign unilocular, smooth mulilocular tumour < 100 mm, largest solid component diameter < 7mm, acoustic shadows, no blood flow (colour score 1) Malignant Irregular solid tumor, Irregular mulglocular-solid tumor 100 mm, 4 papillary structures, ascites, very strong blood flow (color score 4) Indeterminate
17 Rules Rule 1 Rule 2 Rule 3 If one or more M features are present in the absence of B features, the ovarian mass can be classified as malignant If one or more B features are present in the absence of M features, the ovarian mass can be classified as benign If both M features and B Features are present, or there are no M or B Features, the ovarian mass can be classified as indeterminate (second stage investigations recommended)
18 The uterus All fibroids and not much else?
19 The Uterus
20 I m sorry ultrasound can Or not can diagnose it? endometriosis
21
22 Adenomyosis Presence of ectopic nests of endometrial glands and stroma within the myometrium, surrounded by reactive smooth muscle hyperplasia Tiny myometrial cysts give rise to the classic venetian blind appearance
23
24 Deep Infiltrating Endometriosis rectosigmoid utero-sacral ligaments recto-vaginal septum vagina bladder
25 Deep Infiltrating Endometriosis ources/files/alison_smith.pdf
26 Lumps and Bumps
27 Don t forget my vagina! or cervix for that matter! he_vagina_and_cervix_-_anne_marie_coady.pdf
28 Don t forget my vagina! or cervix for that matter!
29 Can t find what you re looking for? Back to the clinical history? Is it only gynae pathology that could be causing the patient symptoms?? Consider not all pelvic pain is ovary or uterus related Explore some possible non gynae causes of pelvic pain Ultrasound assessment Consideration of inclusion into a standard pelvic assessment?
30 USS Pelvis: Pelvic Pain? Ovarian? Cause Put the curvy down and back away!!!! We need to examine the bowel!
31
32 Appendicitis Accuracy of clinical evaluation of acute appendicitis is low especially in the young female (Üeberrüeck et al. 2004) Incredibly variable appearances of the normal appendix leads to false positives Operator dependant
33 Appendicitis High frequency linear probe Compressible thin walled Compared with the terminal ileum, there is no peristalsis Can be seen in up to 70% of patients (according to the literature..).. Purposely excluded and normal measurement of an appendix although some literature use 4mm
34 Appendicitis Non- compressible Appendicoliths Creeping fat/echogenic inflamed mesenteric fat which may be hyperaemic Localised effusion/free fluid Enlarged/reactive lymphadenopathy
35
36
37 Crohn s
38 Other pathologies and conditions which can cause pelvic pain? Epiploic appenagitis Omental infarction Rectus sheath Haematoma Hernia Chronic Nerve Damage Psychosocial Issues
39 That s not what they asked for!! 18 y/o female Dec 16 :RIF pain 2/12? Tubo-ovarian cause Ultrasound: The uterus, endometrium and both ovaries appear normal. The urinary bladder was empty therefore could not be assessed. No adnexal mass or free fluid seen. Nov 17: Significant W/L and continued RIF pain. Ultrasound for SB US? SB Crohn s No Significant abnormal results in all blood tests or urinalysis performed between Dec 16 & Dec 17
40
41
42 Conclusions.. & Thoughts Gynae Ultrasound isn t always simple, in fact its complex! Look beyond the usual to improve We need to be able to provide meaningful, useful Radiology reports for clinicians Wider reading and understanding of symptoms can help with our thought process when scanning Is it always a gynae problem? TOP TIP: There is so much to think about! Why not have a study group session?????? Thinking: the process of considering or reasoning about something using thought or rational judgement; intelligent.
43 References Dr Maulik S Patel, <ahref=" From the case <a href=" </a> x_-_anne_marie_coady.pdf S Guerrieroet al Ultrasound ObstetGynecol2016; 48:
Pelvic Pain? Cause Beyond the Ovary
Pelvic Pain? Cause Beyond the Ovary Catherine Kirkpatrick Consultant Sonographer United Lincolnshire Hospitals Trust Aims Consider not all pelvic pain is ovary or uterus related Explore some non gynae
More information2/24/19. Ovarian pathology: IOTA ADNEXAL MASSES. Content. IOTA terms for description of an adnexal mass. IOTA terms for description of an adnexal mass
Content Ovarian pathology: IOTA ADNEXAL MASSES X SIMPLE COMPLEX Dr DESCRIBE WHAT YOU SEE FRANZCOG, MPH, DDU, COGU Sonologist Clinically useful Benign Malignant Communication between clinicians/research
More informationThe Adnexal Mass. Handout NCUS 3/18/2017 Suzanne Dixon, MD
The Adnexal Mass Handout NCUS 3/18/2017 Suzanne Dixon, MD Objectives: Pelvic mass differential Characteristics of the normal ovary Standard terminology for ovarian masses Benign vs. malignant features
More informationISUOG Basic Training Typical Ultrasound Appearances of Common Pathologies in the Adnexae
ISUOG Basic Training Typical Ultrasound Appearances of Common Pathologies in the Adnexae Learning objectives At the end of the lecture series you will be able to: Compare the differences between typical
More informationA Practical Approach to Adnexal Masses
A Practical Approach to Adnexal Masses Darcy J. Wolfman, MD Section Chief of Genitourinary Imaging American Institute for Radiologic Pathology Clinical Associate Johns Hopkins Community Radiology Division
More informationTerminology Estimate the risk of malignancy in adnexal masses - Overview
Understanding the IOTA (International Ovarian Tumor Analysis) terminology & Classification Using the IOTA simple rules to estimate the risk of malignancy in women with adnexal masses Elisabeth Epstein,
More informationGynecologic Ultrasound. Sujata Ghate, MD Associate Professor of Radiology Duke University Medical Center
Gynecologic Ultrasound Sujata Ghate, MD Associate Professor of Radiology Duke University Medical Center Objectives Understand work-up of endometrial abnormalities Show examples of uterine and endometrial
More informationThe many faces of Endometriosis
The many faces of Endometriosis Beryl Benacerraf M.D Harvard Medical School What is Endometriosis? Endometriosis is defined as the presence of normal endometrial tissue occurring outside of the endometrial
More informationDiane DeFriend Derriford Hospital, Plymouth
Diane DeFriend Derriford Hospital, Plymouth Ultrasound US remains primary imaging modality for investigation of an adnexal mass Aim to characterise Benign Malignant Indeterminate 90% adnexal masses characterised
More informationADENOMYOSIS CHRONIC PELVIC PAIN IN WOMEN IMAGING CHRONIC PELVIC PAIN IN WOMEN CHRONIC PELVIC PAIN IN WOMEN ADENOMYOSIS: PATHOLOGY ADENOMYOSIS
CHRONIC PELVIC PAIN IN WOMEN IMAGING CHRONIC PELVIC PAIN IN WOMEN MOSTAFA ATRI, MD Dipl. Epid. UNIVERSITY OF TORONTO Non-menstrual pain of 6 months Prevalence 15%: 18-50 years of age 10-40% of gynecology
More informationValue of MRI in Characterizing Adnexal Masses
The Journal of Obstetrics and Gynecology of India (July August 2015) 65(4):259 266 DOI 10.1007/s13224-015-0730-9 PHOTO ESSAY Value of MRI in Characterizing Adnexal Masses Alpana Karnik 1 Raina Anil Tembey
More informationOvarian Lesion Benign vs Malignant?
Ovarian Lesion Benign vs Malignant? Michele Keenan 1,2 Bernice Dunne 2 Mary Moran 1 Therese Herlihy 1 1. Radiography and Diagnostic Imaging, School of Medicine, University College Dublin, Ireland 2. Midland
More informationبسم هللا الرحمن الرحيم. Prof soha Talaat
بسم هللا الرحمن الرحيم Ovarian tumors The leading indication for gynecologic surgery. Preoperative characterization of complex solid and cystic adnexal masses is crucial for informing patients about possible
More informationPathology of the female genital tract
Pathology of the female genital tract Common illnesses of the female genital tract Before menarche Developmental anomalies Tumors (ovarial teratoma) Amenorrhea Fertile years PCOS, ovarian cysts Endometriosis
More informationGynaecological cancers. Mr Vivek Nama MD MRCOG Consultant Gynaecological Oncologist
Gynaecological cancers Mr Vivek Nama MD MRCOG Consultant Gynaecological Oncologist Gynaecological cancers Why do we need 2 week wait? Early/timely diagnosis of cancer Possibly less invasive treatment and
More informationInstitute of Pathology First Faculty of Medicine Charles University. Ovary
Ovary Barrett esophagus ph in vagina between 3.8 and 4.5 ph of stomach varies from 1-2 (hydrochloric acid) up to 4-5 BE probably results from upward migration of columnar cells from gastroesophageal junction
More informationCharacterizing Adnexal Masses: Pearls and Pitfalls 20 th Annual Summer Practicum SCBT-MR Jackson Hole August 11, 2010
Characterizing Adnexal Masses: Pearls and Pitfalls 20 th Annual Summer Practicum SCBT-MR Jackson Hole August 11, 2010 Evan S. Siegelman MD University of Pennsylvania Medical Center Adnexal Masses: Pearls
More informationAdnexal Masses in Menopausal Women Surgery or Surveillance?
Adnexal Masses in Menopausal Women Surgery or Surveillance? FREDTALK IDEASWORTHSPREADING Disclosure I am a member of Vermillion s Speakers Bureau I am NOT a paid consultant for Vermillion Inc. nor do I
More informationCELL AND TISSUE INJURY COURSE-II PATHOLOGY LABORATORY. PATHOLOGY of MASS LESIONS and TISSUE DEFECTS -MACROSCOPY Assoc. Professor Rengin Ahıskalı
CELL AND TISSUE INJURY COURSE-II PATHOLOGY LABORATORY PATHOLOGY of MASS LESIONS and TISSUE DEFECTS -MACROSCOPY Assoc. Professor Rengin Ahıskalı M1 - RENAL TUBERCULOSIS cavitary areas caseous necrosis fibrous
More informationCA125 in the diagnosis of ovarian cancer: the art in medicine
CA125 in the diagnosis of ovarian cancer: the art in medicine Dr Marcia Hall Consultant Medical Oncology Mount Vernon Cancer Centre Hillingdon Hospital Wexham Park Hospital Epidemiology Ovarian cancer
More informationCategory Term Definition Comments 1 Major Categories 1a
Working Lexicon Categories, Terms & Definitions Category Term Definition Comments 1 Major Categories 1a Physiologic Category (consistent with normal ovarian physiology) Follicle Simple 3 cm in premenopausal
More informationOvarian Cancer What you need to know
Ovarian Cancer What you need to know www.ovarian.org.uk Contents Your body and your ovaries What is ovarian cancer? Your body and your ovaries 3 What is ovarian cancer? 3 Not one disease, but many 4 The
More informationJMSCR Vol 05 Issue 06 Page June 2017
www.jmscr.igmpublication.org Impact Factor 5.84 Index Copernicus Value: 83.27 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v5i6.29 MRI in Clinically Suspected Uterine and
More informationAdnexal Masses in Menopausal Women
Adnexal Masses in Menopausal Women Surgery or Surveillance? Disclosure Frederick R. Ueland, MD Professor and Director Division of Gynecologic Oncology University of Kentucky I have no financial disclosures
More informationRisk of Malignancy Index in the Preoperative Evaluation of Patients with Adnexal Masses among Women of Perimenopausal and Postmenopausal Age Group
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 17, Issue 9 Ver. 8 (September. 2018), PP 20-25 www.iosrjournals.org Risk of Malignancy Index in the Preoperative
More informationPelvic Pain: Diagnosis and Management
Pelvic Pain: Diagnosis and Management Mr N Pisal Consultant Gynaecologist Advanced Laparoscopic Surgeon www.london-gynaecology.com History LMP Dysmenorrhoea / Dyspareunia Cyclical pain related to menstrual
More informationINTRAUTERINE DEVICE = IUD INTRAUTERINE DEVICE = IUD CONGENITAL DISORDERS Pyometra = pyometrea is a uterine infection, it is accumulation of purulent material in the uterine cavity. Ultrasound is usually
More informationMR Imaging of the Adnexal Masses: A Review
Page54 Review of Literature NJR 2011;1(1):54 60; Available online at www.nranepal.org MR Imaging of the Adnexal Masses: A Review I Ahmad 1, S Kirmani 1, M Rashid 2, K Ahmad 3 1 Department of Radiodiagnosis,
More informationIOTA and Models for Screening for Ovarian Cancer
IOTA and Models for Screening for Ovarian Cancer Hennie Botha MARCH 2017 T H IG PY R O C F O SP EA KE R Silent Killer to Whispering Disease Listening to your body.. new, persistent, and increases in severity
More informationOvarian pathology: A practical approach to imaging diagnosis and management
Ovarian pathology: A practical approach to imaging diagnosis and management Award: Certificate of Merit Poster No.: C-1865 Congress: ECR 2015 Type: Educational Exhibit Authors: A. Castan, A. Mir Torres,
More informationISUOG Basic Training Examining the Uterus: Myometrium
ISUOG Basic Training Examining the Uterus: Myometrium Learning objectives At the end of the lecture you will be able to: Recognise the typical ultrasound appearances of the normal myometrium Recognise
More informationIcd 10 ovarian stroma
Icd 10 ovarian stroma Struma ovarii; Micrograph of a struma ovarii. Characteristic thyroid follicles are seen on the right, and ovarian stroma on the left. H&E stain. Classification and. Free, official
More informationMPH Quiz. 1. How many primaries are present based on this pathology report? 2. What rule is this based on?
MPH Quiz Case 1 Surgical Pathology from hysterectomy performed July 11, 2007 Final Diagnosis: Uterus, resection: Endometrioid adenocarcinoma, Grade 1 involving most of endometrium, myometrial invasion
More informationImaging evaluation of ovarian masses.
Imaging evaluation of ovarian masses. Poster No.: C-0988 Congress: ECR 2012 Type: Educational Exhibit Authors: M. Forment Navarro, C. La Parra Casado, A. Vera, C. Martínez 1 2 2 2 2 2 1 Rubio, M. Mazón
More informationSarah Burton. Lead Gynae Oncology Nurse Specialist Cancer Care Cymru
Sarah Burton Lead Gynae Oncology Nurse Specialist Cancer Care Cymru Gynaecological Cancers Cervical Cancers Risk factors Presentation Early sexual activity Multiple sexual partners Smoking Human Papiloma
More informationOvaries: In Sickness and Health. Mr N Pisal Consultant Gynaecologist The Portland Hospital
Ovaries: In Sickness and Health Mr N Pisal Consultant Gynaecologist The Portland Hospital Topics for discussion How to assess ovarian function? AMH PCOS Ovarian pain Ovarian cysts Ovarian screening Menopause
More informationFHS Appendicitis US Protocol
FHS Appendicitis US Protocol Reviewed By: Shireen Khan, MD; Sarah Farley, MD; Anna Ellermeier, MD Last Reviewed: May 2018 Contact: (866) 761-4200 **NOTE for all examinations: 1. If documenting possible
More informationThe International Ovarian Tumour Analysis (IOTA) criteria
The International Ovarian Tumour Analysis (IOTA) criteria Elizabeth Bullivant Specialist Sonographer Sheffield Teaching Hospitals NHS Foundation Trust Contents Ultrasound reports. What is IOTA? What the
More information3 cell types in the normal ovary
Ovarian tumors 3 cell types in the normal ovary Surface (coelomic epithelium) the origin of the great majority of ovarian tumors 90% of malignant ovarian tumors Totipotent germ cells Sex cord-stromal cells
More informationTriage of Ovarian Masses. Andreas Obermair Brisbane
Triage of Ovarian Masses Andreas Obermair Brisbane Why Triage? In ovarian cancer, best outcomes for patients can be achieved when patients are treated in tertiary centres by a multidisciplinary team led
More information3 cell types in the normal ovary
Ovarian tumors 3 cell types in the normal ovary Surface (coelomic epithelium) the origin of the great majority of ovarian tumors (neoplasms) 90% of malignant ovarian tumors Totipotent germ cells Sex cord-stromal
More informationDiagnostic accuracy of ultrasonography with color doppler imaging techniques in adnexal masses and correlation with histopathological analysis
Original Article Diagnostic accuracy of ultrasonography with color doppler imaging techniques in adnexal masses and correlation with histopathological analysis Neha Gupta 1*, Poonam Gupta 2, Omvati Gupta
More informationBasic Training Programme. 16 Februrary 2018, ROTTERDAM. Pre and Post-Course Test Answers
Basic Training Programme 16 Februrary 2018, ROTTERDAM Pre and Post-Course Test Answers Your details: Name: Conference registration number/ BT delegate number: Email address: Are you already performing
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 2/12/2011 Radiology Quiz of the Week # 7 Page 1 CLINICAL PRESENTATION AND RADIOLOGY QUIZ
More informationFemale Genital Tract Lab. Dr. Nisreen Abu Shahin Assistant Professor of Pathology University of Jordan
Female Genital Tract Lab Dr. Nisreen Abu Shahin Assistant Professor of Pathology University of Jordan Ovarian Pathology A 20-year-old female presented with vague left pelvic pain. Pelvic exam revealed
More informationGynaecology Cancer Red Flags. Dr Dina Bisson Consultant Obstetrician and Gynaecologist Southmead Hospital North Bristol NHS Trust 27 April 2017
Gynaecology Cancer Red Flags Dr Dina Bisson Consultant Obstetrician and Gynaecologist Southmead Hospital North Bristol NHS Trust 27 April 2017 Gynaecological Cancers Endometrial Cancer Ovarian Cancer Cervical
More informationENDOMETRIOSIS AS A COMMON CAUSE OF PELVIC PAIN
ENDOMETRIOSIS AS A COMMON CAUSE OF PELVIC PAIN M.Basta Nikolić, S. Stojanović, O. Nikolić, T. Mrđanin, D. Donat, V. Žigić Center for Radiology, Clinical Center of Vojvodina Novi Sad Chronic pelvic pain
More informationPelvic Pain. What you need to know. 139 Dumaresq Street Campbelltown Phone Fax
Pelvic Pain What you need to know 139 Dumaresq Street Campbelltown Phone 4628 5292 Fax 4628 0349 www.nureva.com.au September 2015 PELVIC PAIN This is a common problem and most women experience some form
More informationPathology of Ovarian Tumours. Dr. Jyothi Ranganathan MD ( Path) AFMC Pune PDCC (Cytopathology) PGI Chandigarh
Pathology of Ovarian Tumours Dr. Jyothi Ranganathan MD ( Path) AFMC Pune PDCC (Cytopathology) PGI Chandigarh Outline Incidence Risk factors Classification Pathology of tumours Tumour markers Prevention
More informationEndometriosis - MRI findings with anatomic-pathologic correlation
Endometriosis - MRI findings with anatomic-pathologic correlation Poster No.: C-2551 Congress: ECR 2015 Type: Educational Exhibit Authors: E. Matos, A. T. Almeida, A. Sanches; Vila Nova de Gaia/PT Keywords:
More informationCase Scenario 1. 1/2/13 History: 64-year-old white female presented with right leg swelling and redness, abdominal pain.
Case Scenario 1 1/2/13 History: 64-year-old white female presented with right leg swelling and redness, abdominal pain. 1/02/13 CT Abdomen/Pelvis: Abnormal area of nodular mesenteric and left anterior
More informationAssessment of adnexal masses. Ultrasound workup of adnexal masses. symptoms. symptoms. Age. Serum tumor markers 10/1/2018
Assessment of adnexal masses Ultrasound workup of adnexal masses Kevin Robinson, DO Department of Radiology Michigan State University October 4, 2018 Patients symptoms Age Menstrual status Serum tumor
More informationAccuracy of transvaginal ultrasound and magnetic resonance imaging in diagnosis and extension of pelvic endometriosis
Accuracy of transvaginal ultrasound and magnetic resonance imaging in diagnosis and extension of pelvic endometriosis A.Salem, Kh. Fakhfakh, S. Mehiri, Y. Ben Brahim, F. Ben Amara, H. Rajhi, R. Hamza,
More informationDr John Short. Obstetrician and Gynaecologist Christchurch Women s Hospital Oxford Women's Health Christchurch
Dr John Short Obstetrician and Gynaecologist Christchurch Women s Hospital Oxford Women's Health Christchurch 16:30-17:30 WS #125: Everything GPs Should Know About Gynaecologists 17:35-18:30 WS #135: Everything
More informationCase Scenario 1. 1/2/13 History: 64-year-old white female presented with right leg swelling and redness, abdominal pain.
Case Scenario 1 1/2/13 History: 64-year-old white female presented with right leg swelling and redness, abdominal pain. 1/02/13 CT Abdomen/Pelvis: Abnormal area of nodular mesenteric and left anterior
More informationThe key contribution of MRI in adnexal mass evaluation is in: 1. Identifying benign features. 2. Identifying malignant features.
19 th Annual Women s Imaging Conference University of Toronto - 2016 Disclosures : None phyllis.glanc@sunnybrook.ca Sunnybrook Health Science Centre University of Toronto, Dept Medical Imaging, Obstetrics
More informationComplete Summary GUIDELINE TITLE. Gynaecological ultrasound examination. BIBLIOGRAPHIC SOURCE(S)
Complete Summary GUIDELINE TITLE Gynaecological ultrasound examination. BIBLIOGRAPHIC SOURCE(S) Finnish Medical Society Duodecim. Gynaecological ultrasound examination. In: EBM Guidelines. Evidence-Based
More informationCase 1307 Mesothelial cysts
Case 1307 Mesothelial cysts Vinhais S, Monteiro M, Cunha TM INSTITUTO PORTUGUÊS DE ONCOLOGIA de Francisco Gentil de LISBOA Section: Gastro-Intestinal Imaging Published: 2001, Nov. 23 Patient: 44 year(s),
More informationAdnexal Masses and Problem Solving Pelvic MRI
28th Congress of the Hungarian Society of Radiologists RCR Session Budapest June 2016 Adnexal Masses and Problem Solving Pelvic MRI DrSarah Swift St James s University Hospital Leeds, UK Objectives Characterisation
More informationWomen s cancers. Anne Connolly GPSI gynae Bevan Healthcare, Bradford RCGP Women s Health Champion
Women s cancers Anne Connolly GPSI gynae Bevan Healthcare, Bradford RCGP Women s Health Champion Conflict of Interests Dr. Connolly has received financial support to attend pharmaceutical advisory board
More informationTitle of Guideline (must include the word Guideline not protocol, policy, procedure etc)
Title of Guideline (must include the word Guideline not protocol, policy, procedure etc) Author: Contact Name and Job Title Directorate & Speciality Assessment, referral and initial management of ultrasound
More informationH&E, IHC anti- Cytokeratin
Cat No: OVC2281 - Ovary cancer tissue array Lot# Cores Size Cut Format QA/QC OVC228101 228 1.1mm 4um 12X19 H&E, IHC anti- Cytokeratin Recommended applications: For Research use only. RNA or protein ovary
More informationSee the latest estimates for new cases of ovarian cancer and deaths in the US and what research is currently being done.
About Ovarian Cancer Overview and Types If you have been diagnosed with ovarian cancer or are worried about it, you likely have a lot of questions. Learning some basics is a good place to start. What Is
More informationMR diagnostics of adnexal masses
MR diagnostics of adnexal masses Poster No.: C-1499 Congress: ECR 2017 Type: Educational Exhibit Authors: O. Nikolic, J. Ostojic, M. Basta Nikolic, A. Spasic, D. Donat, S. Stojanovic; Novi Sad/RS Keywords:
More informationGeneral history. Basic Data : Age :62y/o Date of admitted: Married status : Married
General history Basic Data : Age :62y/o Date of admitted:940510 Married status : Married General history Chief Complain : bilateral ovarian cyst incidentally being found out during pap smear. Present Illness
More informationAmerican Journal of Oral Medicine and Radiology
American Journal of Oral Medicine and Radiology e - ISSN - XXXX-XXXX ISSN - 2394-7721 Journal homepage: www.mcmed.us/journal/ajomr ULTRASONOGRAPHIC EVALUATION OF ADNEXAL MASSES Nageswar Rao* Professor,
More informationCase 1. Gynaecology Case Presentation. Objectives. Disclosures 22/10/ year old female Clinical history: Assess right ovarian cyst
Gynaecology Case Presentation Organ Imaging 2016 University of Toronto Sarah Johnson 39 year old female Clinical history: Assess right ovarian cyst Clinically diagnosed endometriosis Started fertility
More informationSerous borderline tumor icd 10
Note. May be used as an additional code to identify functional activity associated with a carcinoid tumor. Free, official information about 2012 (and also 2013-2015) ICD -9-CM diagnosis code 220, including
More informationIN THE NAME OF GOD POV: CYSTIC OVARIAN LESION
IN THE NAME OF GOD POV: CYSTIC OVARIAN LESION CASE 1 20 years old girl with AUB and pelvic pain from 2 weeks ago Impression :Simple unilocular 6 cm ovarian cyst Next step? Almost certainly benign so FU
More informationAppendix 5. EFSUMB Newsletter. Gastroenterological Ultrasound
EFSUMB Newsletter 87 Examinations should encompass the full range of pathological conditions listed below A log book listing the types of examinations undertaken should be kept Training should usually
More informationD URING the past i8 months at this institution, infusion urography has been
SEPTEMBER, 1975 ABSTRACT: EVALUATION OF PELVIC MASSES DURING INFUSION EXCRETORY UROGRAPHY* By THOMAS J. IMRAY, M.D. MILWAUKEE, WISCONSIN Infusion excretory urography not only clearly delineates the urinary
More informationMousa. Najat kayed &Renad Al-Awamleh. Nizar Alkhlaifat
6 Mousa Najat kayed &Renad Al-Awamleh Nizar Alkhlaifat P a g e 1 This sheet written based on record 13 on website Cover slide( 95-117 ) No need to go back to slide FALLOPIAN TUBE PATHOLOGY In general fallopian
More informationMoneli Golara Consultant Obstetrician and Gynaecologist Barnet Hospital Royal Free NHS Trust
Moneli Golara Consultant Obstetrician and Gynaecologist Barnet Hospital Royal Free NHS Trust Endometriosis one of the most common conditions requiring treatment Growth of endometrial like tissue outside
More informationClinicopathological and Histological Features of Ovarian Tumour- A Study
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 9 Ver. IX (September. 2017), PP 56-60 www.iosrjournals.org Clinicopathological and Histological
More informationFemale Reproduc.ve System. Kris.ne Kra7s, M.D.
Female Reproduc.ve System Kris.ne Kra7s, M.D. Female Reproduc.ve System Outline Cervix Uterus Ovaries Breast Cervical Carcinoma Once the most common cancer in women now not even in top 10. Decrease due
More informationEndometrioma With Calcification Simulating a Dermoid on Sonography
Case Report Endometrioma With Calcification Simulating a Dermoid on Sonography Kiran A. Jain, MD Several investigators have explored the sonographic diagnostic criteria of endometriomas. Endometriomas
More informationCLEAR COVERAGE HYSTERECTOMY CHECKLISTS
CLEAR COVERAGE HYSTERECTOMY CHECKLISTS Click on the link below to access the checklist sheet. Abnormal Uterine Bleeding Adenomyosis Chronic Abdominal or Pelvic Pain Endometriosis Fibroids General Guidelines
More informationGross appearance of peritoneal cysts. They have a thin, translucent wall and contain a clear fluid.
Gross appearance of peritoneal cysts. They have a thin, translucent wall and contain a clear fluid. So-called multicystic benign mesothelioma. A, Gross appearance. So-called multicystic benign mesothelioma.
More informationStaging and Treatment Update for Gynecologic Malignancies
Staging and Treatment Update for Gynecologic Malignancies Bunja Rungruang, MD Medical College of Georgia No disclosures 4 th most common new cases of cancer in women 5 th and 6 th leading cancer deaths
More informationFemale Reproduc.ve System. Kris.ne Kra7s, M.D.
Female Reproduc.ve System Kris.ne Kra7s, M.D. Female Reproduc.ve System Outline Cervix Uterus Ovaries Breast Female Reproduc.ve System Outline Cervix Cervical carcinoma Cervical Carcinoma Once the most
More informationFDG-PET value in deep endometriosis
Gynecol Surg (2011) 8:305 309 DOI 10.1007/s10397-010-0652-6 ORIGINAL ARTICLE FDG-PET value in deep endometriosis A. Setubal & S. Maia & C. Lowenthal & Z. Sidiropoulou Received: 3 December 2010 / Accepted:
More informationOVARIAN MASSES : MANAGEMENT CHALLENGE
SRU 2015 OVARIAN MASSES : MANAGEMENT CHALLENGE phyllis.glanc@sunnybrook.ca Sunnybrook Health Science Centre University of Toronto, Dept Medical Imaging, Obstetrics & Gynecology Thank you on behalf of the
More informationUbol Saeng-Anan, Tawiwan Pantasri, Vithida Neeyalavira, Theera Tongsong*
DOI:http://dx.doi.org/10.7314/APJCP.2013.14.9.5409 RESEARCH ARTICLE Sonographic Pattern Recognition of Endometriomas Mimicking Ovarian Cancer Ubol Saeng-Anan, Tawiwan Pantasri, Vithida Neeyalavira, Theera
More informationThe relative frequency and histopathological patterns of ovarian lesions: study of 116 cases
Original article: The relative frequency and histopathological patterns of ovarian lesions: study of 116 cases Dr Dimple Mehta*,Dr Alpesh Chavda**, Dr Hetal Patel*** *Assistant Professor, **Tutor, ***3
More informationEvaluation of serum level of CA-125 and HE4 in patients with an adnexal mass for the discrimination of benign from malignant cases
Evaluation of serum level of CA-125 and HE4 in patients with an adnexal mass for the discrimination of benign from malignant cases Ahmet Göçmen, Fatih Şanlıkan, Yüksel Sayın, Fatma Seda Öztürk, Abdülhamid
More informationCME ARTICLE. A Practical Approach to the Ultrasound Characterization of Adnexal Masses. Douglas L. Brown, MD
CORE CURRICULUM IN SONOGRAPHY CME ARTICLE A Practical Approach to the Ultrasound Characterization of Adnexal Masses Douglas L. Brown, MD Abstract: Because pelvic ultrasound is commonly used to evaluate
More informationEndometrial line thickness in different conditions.
Endometrial line thickness in different conditions 1 Endometrial thickens in response to Rising estrogen levels during the menstrual cycle and then shedding endometrial at the times of menses 2 The thickens
More informationINCIDENTAL FINDINGS IN GYN ULTRASOUND:WHAT DO YOU DO?
INCIDENTAL FINDINGS IN GYN ULTRASOUND:WHAT DO YOU DO? Steven R. Goldstein, M.D. Professor of Obstetrics & Gynecology New York University School of Medicine Director of Gynecologic Ultrasound Co-Director
More informationL/O/G/O. Ovarian Tumor. Xiaoyu Niu Obstetrics and Gynecology Department Sichuan University West China Second Hospital
L/O/G/O Ovarian Tumor Xiaoyu Niu Obstetrics and Gynecology Department Sichuan University West China Second Hospital Essentials classification of ovarian tumor clinical manifestation of ovarian tumor metastatic
More informationEndometrial Stromal Sarcoma
May 26, 2011 By Sushila Ladumor, MD [1] Endometrial stromal sarcoma (ESS) is a rare malignant tumor of the endometrium, occurring in the age group of 40-50 years. History The 50-year-old, female patient
More informationCELLULAR PATHOLOGY TURNAROUND TIMES
Title: - Summary CELLULAR PATHOLOGY TURNAROUND TIMES These are average figures for some key specimens in days for the month of November 2016. The times include weekends when the laboratory is closed. The
More informationCASE STUDY. Presented by: Jessica Pizzo. CFCC Sonography student Class of 2018
CASE STUDY Presented by: Jessica Pizzo CFCC Sonography student Class of 2018 Case Presentation April 4, 2017 56 yr old woman presented to ED with lower abdominal pain & swelling, along with constipation.
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 2/5/2011 Radiology Quiz of the Week # 6 Page 1 CLINICAL PRESENTATION AND RADIOLOGY QUIZ
More informationPelvic Pain: Overlooked
EDUCATION EXHIBIT 3 Pelvic Pain: Overlooked and Underdiagnosed Gynecologic Conditions 1 CME FEATURE See accompanying test at http:// www.rsna.org /education /rg_cme.html LEARNING OBJECTIVES FOR TEST 1
More informationCAN TV U/S REDUCE THE
CAN TV U/S REDUCE THE NEED FOR SURGERY IN GYNECOLOGY? Steven R. Goldstein, M.D. Professor of Obstetrics & Gynecology New York University it School of fmedicine i Director of Gynecologic Ultrasound Co-Director
More informationTitle of Guideline (must include the word Guideline (not protocol, policy, procedure etc)
Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Author: Contact Name and Job Title Directorate & Speciality Assessment, referral and initial management of ultrasound
More informationSIMPLE GUIDE FOR SONOLOGICAL EVALUATION OF APPENDICITIS
SIMPLE GUIDE FOR SONOLOGICAL EVALUATION OF APPENDICITIS A Case Study by Dr. Avni K P Skandhan, India (Consultant Radio Diagnosis, Malabar Institute of Medical Science, Malappuram, Kerala) Email: avniskandhan@gmail.com
More informationUltrasound Evaluation of Adnexal Pathologies Jagruti Kalola 1*, Hiral Hapani 2, Anjana Trivedi 3, Jay Thakkar 4
Scholars Journal of Applied Medical Sciences (SJAMS) Sch. J. App. Med. Sci., 2014; 2(6G):3324-3330 Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources)
More informationAdenomyosis by myometrial Invasion of endometriosis: Comparison with typical adenomyosis
Adenomyosis by myometrial Invasion of endometriosis: Comparison with typical adenomyosis Poster No.: C-1294 Congress: ECR 2010 Type: Scientific Exhibit Topic: Genitourinary Authors: S. Moon, H. K. Lim,
More informationOriginal Research Article
Original Research Article Assessment of Adnexal Masses among Indian Women using Ultrasound: A Prospective Study Vishalkumar H Bhardava 1, Mayur V. Khandedia 2, Kalpesh K Patel 3 1 Assistant Professor,
More information