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Open Access 01-12-2023 | Endometriosis | Educational Review

Pictorial essay: MRI evaluation of endometriosis-associated neoplasms

Authors: Louise Radzynski, Louis Boyer, Myriam Kossai, Anne Mouraire, Pierre-François Montoriol

Published in: Insights into Imaging | Issue 1/2023

Abstract

Endometriosis is a frequent pathology mostly affecting women of young age. When typical aspects are present, the diagnosis can easily be made at imaging, especially at MRI. Transformation of benign endometriosis to endometriosis-associated neoplasms is rare. The physiopathology is complex and remains controversial. Endometrioid carcinoma and clear cell carcinoma are the main histological subtypes. Our goal was to review the main imaging characteristics that should point to an ovarian or extra-ovarian endometriosis-related tumor, especially at MRI, as it may be relevant prior to surgical management.

Key points

• Transformation of benign endometriosis to endometriosis-associated neoplasms is rare.

• MRI is useful when displaying endometriosis lesions associated to an ovarian tumor.

• Subtraction imaging should be used in the evaluation of complex endometriomas.

Available only for authorised users

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Title: Pictorial essay: MRI evaluation of endometriosis-associated neoplasms
Authors: Louise Radzynski
Louis Boyer
Myriam Kossai
Anne Mouraire
Pierre-François Montoriol
Publication date: 01-12-2023
Publisher: Springer Vienna
Keywords: Endometriosis
Magnetic Resonance Imaging
Magnetic Resonance Imaging
Published in: Insights into Imaging / Issue 1/2023
Electronic ISSN: 1869-4101
DOI: https://doi.org/10.1186/s13244-023-01485-8

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Pictorial essay: MRI evaluation of endometriosis-associated neoplasms

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