Objective. The purpose of this study was to describe the sonographic appearance of ovarian Brenner tumors with computed tomographic (CT) correlation. Methods. Twenty-two female patients (age range, 32-78 years; mean, 58 years) with 25 ovarian Brenner tumors were identified from pathologic records from 1990 to 2005. Corresponding pathologic reports and images (17 sonographic and 14 CT) were reviewed independently. Results. Tumors ranged in size from 0.3 to 12 cm (mean, 2.5 cm); all were benign. Sixteen (64%) of 25 were found incidentally. Eight (36%) of 22 patients had a total of 12 associated benign ovarian neoplasms (1 was contralateral); 3 patients had bilateral Brenner tumors. Eight (47%) of 17 tumors were not seen on sonography, and 5 (36%) of 14 were not seen on CT. Of the tumors seen on imaging, most were solid (67% on sonography and 78% on CT). Four tumors appeared at least partially cystic, of which 3 had coexistent cystic ovarian lesions. Conclusions. Brenner tumors are most often solid neoplasms found incidentally and frequently seen in association with other benign ovarian epithelial neoplasms. Key words: genitourinary system; neoplasm; ovary; sonography.Received April 18, 2006, renner tumors are uncommon ovarian neoplasms most often found incidentally in women between their fifth and seventh decades of life. Although they are predominantly solid on imaging and pathologic examination, association with serous and mucinous cystadenomas in up to 30% may account for a cystic appearance when the Brenner tumor itself is visually inseparable from the coexistent cystic neoplasm or very small. 1 The purpose of this study was to describe the sonographic appearance of pathologically documented ovarian Brenner tumors with computed tomographic (CT) correlation. Materials and Methods SubjectsElectronic surgical pathologic records from 1990 until 2005 at Brigham and Women's Hospital were searched for the term "Brenner tumor," and matching records were identified and reviewed retrospectively. Only patients
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