A New Insight on Exophytic Serous Borderline Adnexal Tumors: Specific Sonographic Features
| Autor: | Nir Kugelman, Roman Korobochka, Suraya Said-Idris, Hasan Bakry, Jacob Bejar, Zvi Leibovitz, Boris Weizman, Leila Haddad, Israel Shapiro, Shlomi Sagie |
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| Rok vydání: | 2021 |
| Předmět: |
Ovarian Neoplasms
Pathology medicine.medical_specialty Radiological and Ultrasound Technology Serous carcinoma business.industry Ultrasound Ovary medicine.disease Adnexal mass Cystadenocarcinoma Serous Adnexal tumors Serous fluid Ovarian tumor medicine.anatomical_structure Adnexal Diseases Histological diagnosis medicine Humans Female Radiology Nuclear Medicine and imaging business Retrospective Studies |
| Zdroj: | Journal of Ultrasound in Medicine. 41:1549-1557 |
| ISSN: | 1550-9613 0278-4297 |
| Popis: | OBJECTIVES To characterize and compare the sonographic features of exophytic serous borderline ovarian tumors (ESBOT) with those of high-grade serous carcinoma of the ovary (HGSC). METHODS Seven patients with histological diagnosis of ESBOT diagnosed between 2011 and 2019 and 10 consecutive cases of HGSC detected during 2019, both depicting an exophytic growth pattern, were identified retrospectively. The sonographic imaging of the masses was reassessed and characterized according to the International Ovarian Tumor Analysis terms. RESULTS A unilateral irregular solid adnexal mass was demonstrated in all patients with ESBOT. The mass typically wrapped an apparently normal ovary, with a clear demarcation line depicted between them and it contained tiny cystic inclusions and calcifications. On color Doppler study of all the ESBOT cases, a unique vascular pattern could be demonstrated: an intratumoral vascular bundle originating from the ovarian vessels and supplying a rich radial blood flow to the tumor periphery. These characteristic morphological and color Doppler features could not be observed in any of the HGSC cases (P |
| Databáze: | OpenAIRE |
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