Ovarian Masses - Part 3
The Endometrioma
The Endometrioma
characteristics of an endometrioma
- Diffuse homogeneous low amplitude echoes
- Visible wall
- Acoustic enhancement and edge shadowing
- Bright wall echoes (Likelihood ratio of 48 for endometrioma)
- Absence of neoplastic features
- Absence of acute hemorrhage
troubleshooting endometrioma-"like" lesions
- When you see something that might be an endometrioma but doesn't satisfy the above criteria
- MRI can be used to troubleshoot. MRI is very specific for the diagnosis of endometrioma