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Ultrasound is 84 accurate in the tissue characterization of ovarian masses. 77 The ultrasound appearance correlates very well with the morphology of ovarian neoplasms, but not with the histology. This modality is highly accurate in differentiating benign from malignant neoplasms (87 Handcuffed Girls Gets Fucked Free Porn 91) if the criteria of malignancy and benignancy are strictly followed. 7778 The criteria that favor malignancy include a multiloculated cystic mass greater than 5 cm in diameter; thick, irregular septations; coexistent solid projections (Fig.

27 and Fig. 28A); a complex mass inseparable from the uterus; a thick, irregular capsule; invasion of contiguous organs; ascites; and presence of omental, mesenteric, or liver metastases. 79 The presence of ascites, however, is nonspecific, since it can be associated with Handcuffed Girls Gets Fucked Free Porn ovarian tumors Ata Oliver And Nice as fibromas.

80 The criteria of a benign mass are a well-defined cystic lesion with thin walls, few or no septations, and minimal fine papillary projections (Fig. 29). 80 In a study of 106 patients with ovarian neoplasms, Moyle and associates 81 found a high correlation between the percentage of solid components and their malignant nature. However, with few exceptions (Fig. 30), solid or mostly solid masses are more likely to be benign. Teratomas, 65 of which are highly echogenic with dirty shadowing, showing variable degrees of calcifications and fat-fluid levels (Fig.

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