Abstract
The gynecological diseases encountered in children are vastly different from those that commonly affect adults and some affect only specific age groups of children. Therefore, knowledge of the age-related developmental changes and common abnormalities that occur in the uterus and ovaries from the newborn period to adolescence is necessary to evaluate the pediatric female pelvis. US is the primary screening modality and is often the only tool necessary for the diagnosis of disorders related to nonneoplastic ovarian cysts, ambiguous genitalia, precocious puberty, and pelvic mass or pain. CT and MRI are generally second-line modalities and have important roles, especially in the global assessment in a neoplasm or an inflammatory process that extend beyond the scope of US. MRI is also useful for evaluating complex urogenital anomalies. This chapter reviews gynecologic diseases commonly encountered in children as well as developmental changes of the genital tracts. Congenital anomalies, functional ovarian cysts, ovarian torsion, and tumors are covered in more detail in other chapters.
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Barondeau J, Rodgers M, Braun L, et al. Small cell ovarian carcinoma: a rare, aggressive tumor masquerading as constipation in a teenager with a fatal outcome. Pediatr Hematol Oncol. 2010;32:139–41.
Boechat MI. Magnetic resonance imaging of the pediatric pelvis. Radiol Clin North Am. 1992;30:807–16.
Choi HK, Cho KS, Lee HW, et al. MR imaging of intersexuality. Radiographics. 1998;18:83–96.
Cohen HL, Bober SE, Bow SN. Imaging the pediatric pelvis: the normal and abnormal genital tract and simulators of its diseases. Urol Radiol. 1992;14:273–83.
Currarino G, Wood B, Massoud M. Anomalies of the female genital tract. In: Silverman FN, editor. Caffey’s Pediatric X-ray Diagnosis. St. Louis: Mosby; 1993. p. 384–1420.
Gambino J, Caldwell B, Dietrich R, et al. Congenital disorders of Âsexual differentiation: MR findings. AJR Am J Roentgenol. 1992;158:363–7.
Garel L, Dubois J, Grignon A, et al. US of the pediatric female pelvis: a clinical perspective. Radiographics. 2001;21:1393–407.
Griffin IJ, Cole TJ, Duncan KA, et al. Pelvic ultrasound findings in different forms of sexual precocity. Acta Paediatr. 1995;84:544–9.
Grygotis LA, Chew FS. Endodermal sinus tumor of the vagina. AJR Am J Roentgenol. 1997;169:1632.
Horowitz M, Glassberg KI. Ambiguous genitalia: diagnosis, evaluation, and treatment. Urol Radiol. 1992;14:306–18.
Inaoka T, Takahashi K, Yamada T, et al. The growing teratoma syndrome secondary to immature teratoma of the ovary. Eur Radiol. 2003;13:2115–8.
Jaramillo D, Lebowitz RL, Hendren WH. The cloacal malformation: radiologic findings and imaging recommendations. Radiology. 1990;177:441–8.
Okamoto D, Ishigami K, Yoshimitsu K, et al. Gliomatosis peritonei associated with immature ovarian teratoma: a mimicker of peritoneal dissemination of malignant diseases. J Comput Assist Tomogr. 2007;31:317–9.
Reinhold C, Hricak H, Forstner R, et al. Primary amenorrhea: evaluation with MR imaging. Radiology. 1997;203:383–90.
Servaes S, Victoria T, Lovrenski J, et al. Contemporary pediatric gynecologic imaging. Semin Ultrasound CT MR. 2010;31:116–40.
Siegel MJ. Female pelvis. In: Siegel MJ, editor. Pediatric Sonography. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2002. p. 529–77.
States LJ, Bellah RD. Imaging of the pediatric female pelvis. Semin Roentgenol. 1996;31:312–29.
Stranzinger E, Strouse PJ. Ultrasound of the pediatric female pelvis. Semin Ultrasound CT MR. 2008;29:98–113.
Tanake YO, Tsunoda H, Kitagawa Y, et al. Functioning ovarian tumors: direct and indirect findings at MR imaging. Radiographics. 2004;24:S147–66.
Teele RL, Share JC. Ultrasonography of the female pelvis in childhood and adolescence. Radiol Clin North Am. 1992;30:743–58.
Wright NB, Smith C, Rickwood AMK, et al. Imaging children with ambiguous genitalia and intersex states. Clin Radiol. 1995;50:823–9.
Young RH, Scully RE. Endodermal sinus tumor of the vagina: a report of nine cases and review of the literature. Gynecol Oncol. 1984;18:380–92.
Ziereisen F, Guissard G, Damry N, et al. Sonographic imaging of the paediatric female pelvis. Eur Radiol. 2005;15:1296–309.
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© 2012 Springer-Verlag Berlin Heidelberg
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Yoo, SY., Kim, W.S. (2012). Introduction. In: Kim, S. (eds) Radiology Illustrated: Gynecologic Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05325-2_47
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DOI: https://doi.org/10.1007/978-3-642-05325-2_47
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