Karen L. Reuter

Comparison of abdominopelvic computed tomography results and findings at second-look laparotomy in ovarian carcinoma patients

In 35 women with epithelial carcinoma of the ovary, the results of restaging laparotomy were compared with the preoperative abdominopelvic computed tomography (CT) findings to evaluate the accuracy of CT for determining tumor status. In the 36 studies performed, enhanced CT scans at 10‐mm to 15‐mm intervals had a sensitivity of 84% and a specificity of 88%; in addition, there was 86% agreement between the CT and surgical findings. These results suggest that although CT is not accurate enough to completely replace the restaging laparotomy, its high accuracy in determining residual disease after treatment is helpful for patient management.

Parasellar Chondrosarcoma in a Patient with Ollier's Disease

SummaryCartilaginous intracranial neoplasms are rare and are located most commonly at the base of the skull in the parasellar region. They may occur with similar lesions in the rest of the skeleton (Olliers disease) or present with multiple enchondromas and soft tissue hemangiomas (Maffucis syndrome).

Ovarian Burkitt lymphoma: pelvic pain in a woman with AIDS.

Background Non-Hodgkin lymphomas, a common, AIDS-defining manifestation of human immunodeficiency virus (HIV), are aggressive, advanced at diagnosis, and tend to involve extranodal sites. Burkitt lymphoma comprises approximately 20% of AIDS-related non-Hodgkin lymphomas. Sites frequently affected by the disease include the central nervous system, bone marrow, gastrointestinal tract, and mucocutaneous tissue. Gonadal involvement is less common; reports of testicular lymphomas in adult males with AIDS have been sporadic. Ovarian involvement in AIDS-related lymphoma is exceedingly rare and usually involves pediatric patients. Case We report an unusual case in which disseminated Burkitt lymphoma presented as pelvic pain in a 32-year-old woman with AIDS. At laparoscopy, the ovaries were unremarkable in appearance but at the upper limits of normal size. However, extreme friability of the left ovary led to hemorrhage and oophorectomy. Pathologic evaluation of the ovary resulted in the diagnosis of Burkitt lymphoma. Conclusion With improved survival because of antiretroviral therapy, the incidence of AIDS-related lymphomas is expected to rise. Lymphoma should be considered in the differential diagnosis of women with AIDS with perplexing abdominal or pelvic symptoms.

Magnetic resonance imaging of an infected urethral diverticulum: a case report.

We present a case report of a urethral diverticulum where magnetic resonance imaging suggested infected contents of the urethral diverticulum besides providing superb detail of periurethral anatomy. The critical clinical question was answered.

Primary osteosarcoma of the uterus

Post-menopausal vaginal bleeding is a common clinical problem. Often, the clinician will call upon the radiologist to perform and interpret studies such as ultrasound or computed tomography (CT), to aid in the diagnosis or to evaluate further a pelvic mass. The following case illustrates an unusual cause of postmenopausal vaginal bleeding, with ultrasound and CT images of the pelvic mass. Certainly, the radiologist, in interpreting scans and correlating them with clinical data, must always consider common etiologies first; but one ust also remember the uncommon and even rare entities that may radiologically mimic a more common pathologica process and, if appropriate, might be included in the differential diagnosis.

Follicle size by ultrasound versus cervical mucus quality: normal and abnormal patterns in spontaneous cycles

Ultrasound (US) has been demonstrated to be the method of choice for diagnosing luteinized unruptured follicle syndrome and to be a valuable adjuvant in the assessment of luteal phase defect. In this prospective study, the use of US with postcoital testing (PCT) is evaluated. Fifty control infertility patients were examined with serial US for follicle dynamics in conjunction with PCT. Standard curves for follicle dynamics versus cervical mucus quality (Insler score) were calculated. Eighteen patients referred for abnormal mucus underwent similar evaluation. Their follicle dynamics versus mucus quality were compared with those of the controls. The findings were: (1) there is a predictable relationship between follicle size and mucus quality, (2) the majority of patients with abnormal mucus have normal follicular dynamics, and (3) a minority of patients with abnormal mucus have either a narrow mucus window or abnormal follicular dynamics. In addition, US was found to be cost-effective in the overall fertility evaluation.

Meigs Syndrome and Ovarian Fibroma: Ct Findings

We present a case of ovarian fibroma with associated Meigs syndrome, Even though the CT findings of ovarian fibroma have been reported previously, our case, with associated meigs syndrome, demonstrated a broader spectrum of CT findings.

The role of magnetic resonance imaging in problematic gynecologic diagnoses

MRI is a modality that provides excellent anatomic detail, especially of soft tissue and bone. Comparison of T1-weighted and T2-weighted images offers significant diagnostic information of pelvic pathology. In five problematic gynecologic cases, magnetic resonance imaging (MRI) provided key information for optimal treatment planning or a definitive diagnosis for the gynecologist.

Ovarian cyst from exogenous estrogen prescribed to limit height

Abstract We present a case of a large, 20-cm diameter, right ovarian cyst which appeared 1½ years after beginning a combination of Premarin (conjugated estrogens) and Provera (medroxy-progesterone acetate) therapy, given to limit the height of a tall 15-year-old female.