European Journal of Molecular & Clinical Medicine

Abstract

The aim of the present study was to assess the ability of dynamic contrast-enhanced MRI (DCE–MRI), and Diffusion-weighted image (DWI) to describe uncertain ovarian masses.
Methods: The present study was conducted in department of radiology and we did transabdominal ultrasound and transvaginal ultrasound for all cases. We investigated 50 patients with 50 adnexal lesions.
Results: The patient’s age ranged from 20 to 78 years old (mean 43.56 years). The main complaint was abdominal pain and/or abdominal distension; other cases came with different symptoms as subfertility or irregular vaginal bleeding. The histopathology of the assessed masses were 21 benign, 4 borderline, and 25 malignant. The age range for patients with benign tumors was 20 - 65 years (mean 39 ± 13 years) while those with malignant tumors, their age range was 21- 78 years (mean 46 ± 16.953 years). Benign masses included seven serous cystadenoma, six mucinous cysadenoma, three mature cystic teratoma, two ovarian fibroma, and fibrothecoma, and one tubo-ovarian abscess. There were four Borderline tumors (two serous and two mucinous). There were 25 invasive malignant masses (Nine Serous cyst-adenocarcinoma, six Mucinous cyst-adenocarcinoma, three Metastatic krukenburg, three Immature teratoma, two fibrosarcoma, and two clear cell carcinoma).
Conclusion: DCE-MRI and DWI have accepted ability to distinguish between benign and malignant ovarian mass.