MRI Features of Malignant Transformation of Pelvic Endometriosis: A Systematic Review

Background: Endometriosis is a benign gynecologic condition that is estrogen-dependent. Malignant transformation is one of the complications of endometriosis; it can affect the woman's ovarian and extra-ovarian regions. Diagnosing endometriosis-associated cancers has an essential role in treat...

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Main Author: Shirin Yaghoobpoor
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2025-02-01
Series:Basic & Clinical Cancer Research
Subjects:
Online Access:https://bccr.tums.ac.ir/index.php/bccrj/article/view/516
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author Shirin Yaghoobpoor
author_facet Shirin Yaghoobpoor
author_sort Shirin Yaghoobpoor
collection DOAJ
description Background: Endometriosis is a benign gynecologic condition that is estrogen-dependent. Malignant transformation is one of the complications of endometriosis; it can affect the woman's ovarian and extra-ovarian regions. Diagnosing endometriosis-associated cancers has an essential role in treatment. Purpose: Our study aimed to review magnetic resonance imaging (MRI) features of malignant transformation of pelvic endometriosis. Material and Methods: We searched three online databases including Web of Science, Scopus, and PubMed, applying relevant keywords up to May 2022. We included English articles reporting MRI features of pelvic endometriosis pointing to malignant transformation. Results: Totally eight papers were included as they matched our inclusion requirements. Eighty-seven individuals were included finally. Studies were published between 1992 and 2021. The larger size of the lesion, loss of T2-weighted images shading, mural nodules, mural nodules contrast enhancement, and mural nodules protruding from the cyst wall at acute angles were the main MRI features suggesting potential malignant transformation of pelvic endometriosis. Conclusion: The endometriosis's malignant changes can be observed on MRI. The predominant MRI findings are a large cyst, loss of shading on T2-weighted imaging, mural nodules enhancement, and acutely angled protrusion of mural nodules from the cyst wall.
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spelling doaj-art-2cb34650808249648b7132f0ebdb84912025-02-09T08:54:17ZengTehran University of Medical SciencesBasic & Clinical Cancer Research2228-65272228-54662025-02-01154MRI Features of Malignant Transformation of Pelvic Endometriosis: A Systematic ReviewShirin Yaghoobpoor0Student Research Committee, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Background: Endometriosis is a benign gynecologic condition that is estrogen-dependent. Malignant transformation is one of the complications of endometriosis; it can affect the woman's ovarian and extra-ovarian regions. Diagnosing endometriosis-associated cancers has an essential role in treatment. Purpose: Our study aimed to review magnetic resonance imaging (MRI) features of malignant transformation of pelvic endometriosis. Material and Methods: We searched three online databases including Web of Science, Scopus, and PubMed, applying relevant keywords up to May 2022. We included English articles reporting MRI features of pelvic endometriosis pointing to malignant transformation. Results: Totally eight papers were included as they matched our inclusion requirements. Eighty-seven individuals were included finally. Studies were published between 1992 and 2021. The larger size of the lesion, loss of T2-weighted images shading, mural nodules, mural nodules contrast enhancement, and mural nodules protruding from the cyst wall at acute angles were the main MRI features suggesting potential malignant transformation of pelvic endometriosis. Conclusion: The endometriosis's malignant changes can be observed on MRI. The predominant MRI findings are a large cyst, loss of shading on T2-weighted imaging, mural nodules enhancement, and acutely angled protrusion of mural nodules from the cyst wall. https://bccr.tums.ac.ir/index.php/bccrj/article/view/516Endometriosismagnetic resonance imaging (MRI)malignancymural nodules
spellingShingle Shirin Yaghoobpoor
MRI Features of Malignant Transformation of Pelvic Endometriosis: A Systematic Review
Basic & Clinical Cancer Research
Endometriosis
magnetic resonance imaging (MRI)
malignancy
mural nodules
title MRI Features of Malignant Transformation of Pelvic Endometriosis: A Systematic Review
title_full MRI Features of Malignant Transformation of Pelvic Endometriosis: A Systematic Review
title_fullStr MRI Features of Malignant Transformation of Pelvic Endometriosis: A Systematic Review
title_full_unstemmed MRI Features of Malignant Transformation of Pelvic Endometriosis: A Systematic Review
title_short MRI Features of Malignant Transformation of Pelvic Endometriosis: A Systematic Review
title_sort mri features of malignant transformation of pelvic endometriosis a systematic review
topic Endometriosis
magnetic resonance imaging (MRI)
malignancy
mural nodules
url https://bccr.tums.ac.ir/index.php/bccrj/article/view/516
work_keys_str_mv AT shirinyaghoobpoor mrifeaturesofmalignanttransformationofpelvicendometriosisasystematicreview