Ultrasound features of different histopathological subtypes of borderline ovarian tumors

Autor: Ignace Vergote, E. Fruscella, Giovanni Scambia, R. Achten, Gianfranco Zannoni, F. De Smet, Manuela Ludovisi, C. Van Holsbeke, Gabriella Ferrandina, Dirk Timmerman, A. C. Testa, Frédéric Amant
Rok vydání: 2005
Předmět:
Zdroj: Ultrasound in Obstetrics and Gynecology. 26:644-650
ISSN: 0960-7692
DOI: 10.1002/uog.2607
Popis: Objective To describe the gray-scale sonographic and color Doppler imaging features of the most common histopathological subtypes of borderline ovarian tumors. Methods We analyzed retrospectively the preoperative transvaginal sonographic reports of patients with a histological diagnosis of borderline ovarian tumor. All patients were scanned consecutively by two of the investigators using transabdominal and transvaginal gray-scale imaging to assess the morphology and color Doppler to obtain indices of the blood flow. Sonographic findings were compared to histopathological data. Results A total of 113 consecutive cases were reviewed from two referral centers for gynecological oncology. At histological examination 50 tumors (44%) were classified as being serous borderline ovarian tumors (SBOT), 61 (54%) were mucinous borderline ovarian tumors (MBOT) (42 intestinal type and 19 endocervical type), and two patients (2%) presented with borderline endometrioid tumors. SBOTs and endocervical-type MBOTs had very similar sonographic features and a smaller diameter, fewer locules (usually unilocular-solid lesions) and a higher color score than intestinal-type MBOTs. Intestinal-type MBOTs were characterized by a significantly higher percentage of lesions with > 10 locules when compared with the endocervical-type MBOTs. Conclusion Intestinal-type MBOTs have different sonographic features from other common borderline ovarian tumors. Copyright © 2005 ISUOG. Published by John Wiley & Sons, Ltd.
Databáze: OpenAIRE
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