978

ULTRASoUND EVALUATToN oFTHE ADNEXA (ovAny AND FALLoptANTUBEs)

FIGURE 3{F8. Paraovarian cyst. A. The cyst is separate from a normal ovarv {Ov) and uterus {Ut}. 8. ln this case, it is dif{icult to discriminate between a paraovarian cyst and en superficial ovarian cyst. O, ovary.

FIGURE 3O-lO" A, benign solid ovarian tumor may le uterine myoma if no connection is seen between tr: uterus (e.9., jn case of a pedunculated myoma). -'rd'dni B. Exophytic uterine lgiomyoma (arraw). Ut, uterus.

i.

benign ovarian tllmors, such as fibroma,

coma, and Brenner.tumor,- may-manifest simila: ::i at grayscale sonography.56'se'66'67 However. ii r = sion that the cchogenicity of fibromas doe s d.i= of other benign solid ovarian tumors, such as i::

theci- n m

thecofibromas.

I find the

echogenicity of ii::m.tu:

virtualiy identical to that of myomas, whereas --:-..: thecofibromas often manifcst more lobu-lar :,an slightly more irreguiar echogenicity (Fig. 3i---- , However', these diagnostic criteria did not :'ixn:or
when tcsted prospectively.l On the other hand-::

FIGURE 3O*9. Peritoneal inclusion pseudocyst. Note the ovary (Ov)

suspended amongsl adhesions in the periphery of the pseudocyst.

sufficient from a clinical point ol view to mer*: diagnosis of benign solid ovarian tumor, and i: ::::tn attempting to suggest a more specific diagno.*. and corvorkersl'reportcd confusion of ovarian e:-':and fibroma at grayscale sonography, and s;:- -also occurred in one of mv own series.l

s '