Differential Diagnosis for Calcified Mass in Pregnancy
- Single most likely diagnosis
- Uterine fibroid with calcification: This is a common finding in pregnant women, as fibroids are prevalent in this population and can undergo degenerative changes, including calcification, during pregnancy.
- Other Likely diagnoses
- Ovarian dermoid cyst with calcification: These cysts can contain calcified elements and are often discovered during pregnancy due to increased surveillance.
- Placental calcification: While not typically a "mass," placental calcification can be seen in the third trimester and may be associated with fetal growth restriction or other placental abnormalities.
- Do Not Miss diagnoses
- Molar pregnancy with calcification: Although rare, a molar pregnancy can present with a calcified mass and has significant implications for the mother's health, including the risk of gestational trophoblastic disease.
- Ovarian tumor (e.g., teratoma or cystadenoma) with calcification and potential for malignancy: While less common, these tumors can be life-threatening if malignant and must be considered in the differential diagnosis.
- Rare diagnoses
- Lithopedion (stone baby): A rare condition where a fetus dies in utero and becomes calcified, often presenting as a calcified mass.
- Abdominal ectopic pregnancy with calcification: An extremely rare condition where a pregnancy implants outside the uterus, potentially leading to a calcified mass if the pregnancy undergoes degenerative changes.