Imaging in gynecological disease (11): clinical and ultrasound features of mucinous ovarian tumors

Abstract

A multilocular cyst with 2-10 locules is representative of a benign cystadenoma, whereas a multilocular cyst with > 10 locules is indicative of a GI-type borderline tumor. Most invasive tumors of mucinous GI-type contain solid components, the most typical ultrasound appearance being that of a multilocular-solid tumor. Papillary projections are typical features of endocervical-type borderline tumors. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd.

Imaging in gynecological disease (13): clinical and ultrasound characteristics of endometrioid ovarian cancer

“…The ultrasound characteristics of endometrioid ovarian cancers differ from those of mucinous and serous ovarian carcinomas described previously 29,30 (Table S5). Whether it is possible to discriminate correctly between different types of ovarian malignancy on the basis of ultrasound images and clinical information can only be determined in a prospective study.…”

“…However, before starting any prospective study, the typical ultrasound appearance of different types of ovarian malignancy must be known. The typical ultrasound appearance of several different adnexal pathologies, including various types of malignancy, has been described in the 'imaging in gynecological disease' series of this journal [29][30][31][32][33][34][35][36][37][38] (also see Virtual Issue https://obgyn .onlinelibrary.wiley.com/doi/toc/10.1002/(ISSN)1469-0705.IMAGINGINGYNECOLOGICALDISEASE).…”

Imaging in gynecological disease (14): clinical and ultrasound characteristics of ovarian clear cell carcinoma

“…Clear cell carcinoma is less sensitive to platinum‐based chemotherapy than serous and endometrioid adenocarcinomas and, if it were possible to identify clear cell tumors preoperatively, this could assist the oncology surgeon in making maximal efforts to obtain zero residual disease. The typical ultrasound appearance of different ovarian malignancies has been described in the Imaging in Gynecological Disease series of this journal (see Virtual Issue https://obgyn.onlinelibrary.wiley.com/doi/toc/10.1002/(ISSN)1469‐0705.IMAGINGINGYNECOLOGICALDISEASE). It remains to be shown in prospective studies if different types of ovarian malignancy, including epithelial ovarian cancer, i.e.…”

“…Because endometrioid and clear cell cancers of the ovary present similarly clinically and look similar on ultrasound, we do not believe that it would be possible to discriminate between these two cancer types preoperatively. However, it should be possible to distinguish endometrioid or clear cell cancer of the ovary from serous ovarian cancer (especially high‐grade serous cancer) and mucinous ovarian cystadenocarcinoma because of differences in clinical presentation and ultrasound features. It should at least be possible to evaluate which diagnosis is the most likely.…”

“…High‐grade serous carcinomas are more often bilateral than clear cell carcinomas; they are multilocular‐solid or solid lesions that very rarely contain papillary projections. Mucinous ovarian carcinomas are much larger than serous, endometrioid and clear cell carcinomas, virtually always unilateral and contain a very large number of cyst locules, but papillary projections are very rare. Preoperative discrimination between different types of ovarian malignancy can be of clinical importance.…”