MRI appearances of ovarian serous borderline tumor: Pathological correlation

Zhao, Siwen; Qiang, Jin Wei; Zhang, Guo Fu; Boyko, Orest B.; Wang, Shi Jia; Cai, Song Qi; Wang, Li

doi:10.1002/jmri.24339

Cited by 32 publications

(17 citation statements)

References 21 publications

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“…4,6,7 Generally the presence of solid component and mural nodules in the lumen and the wall of cystic tumours indicated their malignant potential. 8 In our case, the tumour was diagnosed as complex omental cyst and showed hyperintense signal on T2N1 and some intermediate signal intensity solid component at the periphery. The tumour was abutting and displacing the overlying bowel loops.…”

Section: Discussionmentioning

confidence: 54%

Paratubal Atypical Proliferative Serous Tumour in a Young Adolescent Female - A Diagnostic Dilemma

Garg¹,

Kaur²,

Kaur³

et al. 2020

IJCMR

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Introdcution: Paratubal atypical proliferative serous tumours are rare usually arising from the mesothelium or from the remnants of mesonephric and paramesonephric ducts. We present a rare case of paratubal borderline serous tumour in a young adolescent female presenting clinically as an omental cyst.Case Report: A 14-year old unmarried female presented with abdominal pain in right iliac fossa. MRI revealed a well demarcated space occupying lesion in the pelvis almost in midline measuring 12x11x8cm. Lesion was abutting and displacing overlying bowel loops with likely adhesions suggestive of complex omental cyst. The patient underwent cystectomy. The final histopathologic report confirmed the cyst as Paratubal atypical proliferative serous tumour. Conclusion:We experience a rare case of atypical proliferative serous tumour of paratubal origin. The patient was youngest than any of the other cases reported in the literature. Fertility sparing surgery should be considered as a standard treatment of borderline paratubal tumour, if patient desires future fertility.

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Section: Discussionmentioning

confidence: 54%

Paratubal Atypical Proliferative Serous Tumour in a Young Adolescent Female - A Diagnostic Dilemma

Garg¹,

Kaur²,

Kaur³

et al. 2020

IJCMR

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“…The presence of papillary projections (enhancing solid finger-like projections) is one architectural feature that is common to serous borderline tumors and suggests the diagnosis (152). On T2WI, papillary projections range from small low-to-intermediate SI lesions to larger lesions with characteristic internal branching low SI fibrous stalk and high SI peripheral clumps (Figure 11) (152).…”

Section: Part Vi: Fertility-sparing Management Of Ovarian Tumorsmentioning

confidence: 99%

“…On T2WI, papillary projections range from small low-to-intermediate SI lesions to larger lesions with characteristic internal branching low SI fibrous stalk and high SI peripheral clumps (Figure 11) (152). Emerging evidence also indicates that addition of DWI and DCE-MRI may facilitate the differentiation between borderline and invasive tumors.…”

Section: Part Vi: Fertility-sparing Management Of Ovarian Tumorsmentioning

confidence: 99%

Fertility-sparing for young patients with gynecologic cancer: How MRI can guide patient selection prior to conservative management

et al. 2017

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Historically, cancer treatment has emphasized measures for the “cure” regardless of the long-term consequences. Advances in cancer detection and treatment have resulted in improved outcomes bringing to the fore various quality of life considerations including future fertility. For many young cancer patients, fertility preservation is now an integral component of clinical decision-making and treatment design. Optimal fertility-sparing options for young patients with gynecologic cancer are influenced by patient age, primary cancer, treatment regimens, and patient preferences. Possible approaches include embryo or oocyte cryopreservation, ovarian transposition, conservative surgery, and conservative medical treatment to delay radical surgery. These may be used alone or in combination to maximize fertility preservation. Awareness of the various fertility-sparing options, eligibility criteria, and the central role of Magnetic Resonance Imaging (MRI) in the proper selection of patients will enable radiologists to produce complete clinically relevant imaging reports and serve as effective consultants to referring clinicians. Knowledge of the potential imaging pitfalls is essential to avoid misinterpretation and guide appropriate management.

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“…Serous borderline tumor (SBT) of the micropapillary type (SBT-MP) became one of the major pathological SBT diagnoses in addition to typical SBT, and was also defined as “non-invasive” LGSC. Several imaging reports regarding SBT have been published to date [ 3 – 5 ]. However, those cases might not be strictly divided into typical SBT and micropapillary type SBT because the previous WHO classification classified SBT into papillary cystic tumors, surface papillary tumors and adenofibromas, and cystadenofibromas primarily on the basis of macroscopic tumor cell proliferation as the major pathological diagnoses and did not include the micropapillary type until 2014.…”

Section: Introductionmentioning

confidence: 99%

MRI appearance of ovarian serous borderline tumors of the micropapillary type compared to that of typical ovarian serous borderline tumors: radiologic-pathologic correlation

et al. 2018

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BackgroundSerous borderline tumor (SBT) of the micropapillary type (SBT-MP) became one of the major pathological SBT diagnoses in addition to typical SBT, and was also defined as “non-invasive” low-gradeserous carcinoma according to the World Health Organization (WHO) classification in 2014. In this study, we investigated the MRI appearance of SBT-MP compared to that of typical SBT in order to identify specific imaging features of SBT-MP that correspond to pathological findings.MethodsMR images of 6 histologically proven ovarian SBT-MP in four patients and 14 typical SBT in ten patients were reviewed retrospectively. Images were evaluated for laterality, size and morphology of the lesion and the solid component (SC) and signal intensity (SI) of the SC. MRI findings were correlated with pathological findings.ResultsThe patients with SBT-MP (mean 26.3 years) were younger than those with typical SBT (mean 44.5 years). Postoperative staging in patients with SBT-MP was II in two and III in two cases, while staging for typical SBT was I in seven, II in one and III in two cases. The morphologic patterns of SBT-MP were a unilateral cystic mass with intracystic mural nodules (CwMN) (n = 2), bilateral solid papillary masses (SM), and bilateral SM with CwMN. The pattern of typical SBT was CwMN (n = 13) in all but one lesion (SM with CwMN). All SCs showed inhomogeneous slight hyperintensity on T2 weighted images (WI) and high SI on diffusion-WI (DWI) except for in one typical SBT. Although diffuse proliferation of the tumor cells in micropapillary projections with little stroma seemed to correspond to inhomogeneous slightly hyperintense foci in SC on T2WI and high SI on DWI, similar MR findings were observed in typical SBT in all lesions on T2WI and 11 of 12 lesions on DWI. In typical SBT, inhomogeneous slightly hyperintense foci in SC on T2WI and high SI on DWI corresponded to highly cellular foci with densely branched papillae.ConclusionPathological findings and clinical behavior of SBT-MP differed from those of typical SBT, but morphology and SI of SC on MRI were similar, with papillary projections demonstrating inhomogeneous slight hyperintensity on T2WI and high SI on DWI.

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MRI appearances of ovarian serous borderline tumor: Pathological correlation

Abstract: On MRI, the ovarian SBT has some morphological distinguishing features. The solid papillary architecture with internal branching fibrous stalk is a somewhat more characteristic MRI appearance.

Cited by 32 publications

References 21 publications

Paratubal Atypical Proliferative Serous Tumour in a Young Adolescent Female - A Diagnostic Dilemma

Paratubal Atypical Proliferative Serous Tumour in a Young Adolescent Female - A Diagnostic Dilemma

Fertility-sparing for young patients with gynecologic cancer: How MRI can guide patient selection prior to conservative management

MRI appearance of ovarian serous borderline tumors of the micropapillary type compared to that of typical ovarian serous borderline tumors: radiologic-pathologic correlation

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