Question 1663
{"accessible":false,"alternatives":[{"id":8278,"text":"irregular solid lesion in a premenopausal patient"},{"id":8277,"text":"moderately vascular mass and ascites in a postmenopausal patient"},{"id":8279,"text":"small unilocular lesion with a solid component containing very strong blood flow"},{"id":8275,"text":"unilocular lesion with 4 papillary projections"},{"id":8276,"text":"unilocular lesion with mixed echogenicity and acoustic shadows"}],"archived":false,"correctAlternativeId":8276,"explanation":"\u003cp\u003eAccording to the IOTA lexicon and Simple Rules:\u003c/p\u003e\u003cp\u003eMixed echogenicity and acoustic shadows is a typical descriptor for a mature cystic teratoma, which is benign.\u003c/p\u003e\u003cp\u003e\"Irregular solid lesion\" is a malignant feature regardless of menopausal state.\u003c/p\u003e\u003cp\u003eA moderately vascular mass and ascites in a postmenopausal patient\u0026nbsp;is one of the malignant \"easy descriptors\"\u003c/p\u003e\u003cp\u003e\"Very strong blood flow\" is a malignant feature regardless of tumor size.\u003c/p\u003e\u003cp\u003e\"Unilocular lesion with 4 or more papillary projections\"\u0026nbsp;is one of the malignant features.\u003c/p\u003e","id":1663,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2809","nextQuestionPath":"/articles/ovarian-tumours/questions/1659","relatedArticles":[{"id":40621,"title":"IOTA ultrasound rules for ovarian masses","link":"/articles/iota-ultrasound-rules-for-ovarian-masses?lang=us"}],"alsoUsedIn":[{"id":226,"kind":"Course","title":"Ultrasound of Ovarian Masses","link":"https://radiopaedia.org/courses/ultrasound-of-ovarian-masses"},{"id":978,"kind":"Course","title":"2021 Virtual Conference Private Use - page 978","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/978"},{"id":978,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 978","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/978"},{"id":978,"kind":"Course","title":"2022 Virtual Conference Private Use - page 978","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/978"},{"id":970,"kind":"RestrictedPage","title":"Page 970 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/970"},{"id":955,"kind":"RestrictedPage","title":"Page 955 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/955"},{"id":1,"kind":"LiveSchedule","title":"1","link":"https://radiopaedia.org/admin/live_schedules/1"},{"id":6,"kind":"LiveSchedule","title":"6","link":"https://radiopaedia.org/admin/live_schedules/6"},{"id":669,"kind":"Course","title":"Lectures by Alexandra Stanislavsky - page 669","link":"https://radiopaedia.org/courses/lectures-by-alexandra-stanislavsky/pages/669"},{"id":669,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 669","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/669"},{"id":669,"kind":"Course","title":"2020 Virtual Conference Private Use - page 669","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/669"},{"id":858,"kind":"Course","title":"2021 Virtual Conference Private Use - page 858","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/858"},{"id":858,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 858","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/858"},{"id":858,"kind":"Course","title":"Obstetrics \u0026 Gynaecology Lectures - page 858","link":"https://radiopaedia.org/courses/obgyn-lectures/pages/858"},{"id":893,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 893","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/893"},{"id":893,"kind":"Course","title":"Miscellaneous Lectures - page 893","link":"https://radiopaedia.org/courses/miscellaneous-lectures/pages/893"},{"id":893,"kind":"Course","title":"2021 Virtual Conference Private Use - page 893","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/893"},{"id":1209,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1209","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1209"}],"stem":"\u003cp\u003eWhich of the following ovarian lesions is \u003cstrong\u003eLEAST\u003c/strong\u003e concerning for malignancy?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1663"}],"attemptsPercentages":[{"alternativeId":"8276","percentage":82},{"alternativeId":"8279","percentage":4},{"alternativeId":"8277","percentage":3},{"alternativeId":"8275","percentage":6},{"alternativeId":"8278","percentage":6}],"promptToLogin":false,"questionManager":false,"articleId":"ovarian-tumors"}