Focal calcifications in otherwise ultrasonographically normal ovaries.
OBJECTIVE
To analyze the natural history, clinical importance, and need for follow-up in patients with discrete calcifications in otherwise ultrasonographically (US) normal ovaries.


METHODS
US scans obtained in 28 women with ovarian calcifications but without masses or other structural abnormalities were retrospectively reviewed. Follow-up findings were available in 15 women (mean age, 38.0 years; range, 26-72 years).


RESULTS
Two of the 15 women had trilateral calcifications. Thus, 17 ovaries had focal calcifications. Histopathologic confirmation was obtained in 10 cases; follow-up US findings, five cases; and follow-up laparoscopic findings, two cases. In 13 (76%) of the 17 ovaries, calcifications were not clinically important. In four (24%) of the 17, the calcification was the initial or only manifestation of a neoplasm. Lesions were benign in all four of these ovaries: There was one dermoid, one mucinous cystadenoma, and two adenofibromas.


CONCLUSIONS
Until more data are available, findings of calcifications in ovaries with otherwise normal US findings warrant some form of follow-up.
Brandt
K R
KR
Department of Diagnostic Radiology, Mayo Clinic and Foundation, Rochester, MN 55905, USA.
Thurmond
A S
AS
McCarthy
J L
JL
D000328:Adult; D002114:Calcinosis / Q000000981:diagnostic imaging* / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010049:Ovarian Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging / Q000453:epidemiology; D010053:Ovary / Q000473:pathology; D012189:Retrospective Studies; D013997:Time Factors; D014463:Ultrasonography