Comprehensive three-part online course in gynecologic ultrasound
Part 3: Benign and malignant adnexal tumors
33. BENIGN STROMAL OVARIAN TUMORS
Benign sex cord-stromal tumors can present significant diagnostic challenges, particularly when their ultrasound characteristics resemble those of malignant ovarian lesions
In this lesson, Professor Inessa Safonova explores the clinical and ultrasound features of ovarian fibromas, thecomas, fibrothecomas, and Sertoli and Leydig cell tumors
Through real clinical cases, ultrasound images, and surgical findings, you will explore:
- Characteristic ultrasound features, including fan-shaped acoustic shadowing and vascular patterns
- Differential diagnosis of benign stromal tumors and other adnexal masses
- Diagnostic challenges associated with cystic degeneration, ascites, and elevated CA-125 levels
- Interpretation of IOTA and O-RADS classifications in atypical stromal tumors
- Clinical presentations and hormonal manifestations of Sertoli and Leydig cell tumors
Interactive clinical cases demonstrate how ultrasound findings correlate with surgical observations and highlight important considerations in assessing ovarian masses
Video lecture: 15 min