대한초음파의학회

[Genitourinary [GU]] 26 Years/F, 복통 및 어지러움, 소화불량 Myoung Seok Lee 2026-09-25
Subspecialty	Genitourinary [GU]
Classification	Tumor
Difficulty	For resident
Modality	US, MR
Finger-like solid tissue growth in ovarian cystic mass Internal flow in the Finger-like solid tissue
퀴즈 응모 기간	2026-09-25 ~ 2026-10-09
Questions	골반 초음파(B-mode, Color Doppler) 및 골반 조영증강 MRI(T2-weighted, Contrast-enhanced T1-weighted) 검사 영상이다. 외생성으로 자라나는 다발성 유두상 돌기(papillary projection)와 내부 혈류 신호가 관찰될 때, 가장 가능성이 높은 진단은?
Diagnosis	Answer Endometrioma Ovarian fibroma Mucinous cystadenoma Mature cystic teratoma Serous borderline tumor ※ 개인정보의 수집 및 이용목적 대한초음파의학회는 증례토론 퀴즈 진행을 위해 개인정보를 요구하고 있습니다. 아이디, 성명, 소속을 필수입력사항으로 수집하고 있습니다. ※개인정보의 보유 및 이용기간 회원님의 개인정보는 대한초음파의학회에서 계속 보유하며 서비스 제공을 위해 이동하게 됩니다. 동의합니다

ANSWER
Answer	Serous borderline tumor
Comments	According to the updated IOTA consensus, a papillary projection is a solid component protruding into a cyst cavity with a height of at least 3 mm; papillary projections may arise from the cyst wall or a septum, and the largest projection should be measured using standardized dimensions. Previous studies have associated greater papillary height or number, blood flow, and irregular, confluent or disseminated morphology with borderline or invasive disease. Timmerman D, Valentin L, Testa AC, Froyman W, Landolfo C, Kotlarz A, et al. Terms, definitions and measurements to describe the sonographic features of adnexal tumors: updated consensus opinion from the International Ovarian Tumor Analysis (IOTA) Group. Ultrasound Obstet Gynecol 2026;67:702-724. Hassen K, Ghossain MA, Rousset P, Sciot C, Hugol D, Baddoura R, et al. Characterization of papillary projections in benign versus borderline and malignant ovarian masses on conventional and color Doppler ultrasound. AJR Am J Roentgenol 2011;196:1444-1449.
References
Keywords	Ovary, Borderline tumor, Papillary projection,

증례토론