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Ultrasound features of different histopathological subtypes of borderline ovarian tumors
Author(s) -
Fruscella E.,
Testa A. C.,
Ferrandina G.,
De Smet F.,
Van Holsbeke C.,
Scambia G.,
Zani G. F.,
Ludovisi M.,
Achten R.,
Amant F.,
Vergote I.,
Timmerman D.
Publication year - 2005
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.2607
Subject(s) - medicine , serous fluid , radiology , ultrasound , color doppler , pathology , ultrasonography
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.