Ovarian versus Uterine Origin of a Pelvic Mass

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Ovarian versus Uterine Origin of a Pelvic Mass

It is sometimes difficult to determine whether a pelvic mass is of uterine or ovarian origin.

Findings Suggestive of Ovarian Origin

An ovarian origin is highly likely if the suspensory ligament ¹ or ovarian vein² can be tracked to the mass. The gonadal veins often course along the lateral and dorsal border of an ovarian mass, with the branches wrapping around the mass. With uterine masses, the gonadal veins often show abrupt interruption at the lateral margin of the mass.³

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