Sonography of ovarian tumors: predictability of tumor type

Moyle, James W.; Rochester, David; Sider, Lee; Shrock, K; Krause, Petra

doi:10.2214/ajr.141.5.985

Cited by 74 publications

(36 citation statements)

References 3 publications

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“…1); 281 cases were treated by laparotomy and 957 cases by laparoscopic surgery. By image-diagnostic tumor pattern [6][7][8], the presence of massive ascites, and elevated serum tumor markers, 26 cases suggesting apparent epithelial malignancy were excluded; these cases were finally diagnosed as malignant by histopathological diagnosis. Twenty-eight cases were then diagnosed as solid/predominantly solid nonepithelial adnexal tumors by ultrasonography, and further evaluation of tumor characteristics was made by CT/MRI scan.…”

Section: Resultsmentioning

confidence: 99%

“…These tumors are clinically classified as benign, low-malignant-potential, and malignant tumors. By diagnostic imaging procedures, these same tumors are classified according to the internal echogenicity as cystic, solid, and mixed tumors [6,7]. Ovarian tumors that show a solid/predominantly solid pattern on ultrasonography comprise 15-20% of all ovarian neoplasms.…”

Section: Discussionmentioning

confidence: 99%

“…Preoperative evaluation of adnexal tumor was first done by transvaginal and transabdominal ultrasound to categorize tumors according to the internal echogenic pattern [6,7]. Tumors that showed a solid/predominantly solid pattern were further evaluated.…”

Section: Evaluation Of Tumor Characteristics Before and During Surgerymentioning

confidence: 99%

“…However, laparoscopic surgery for either suspicious or malignant conditions remains controversial [3][4][5]. Cases of solid/predominantly solid adnexal tumor first diagnosed by ultrasonography include various natures of neoplastic conditions from benign to malignant [6,7], and laparotomy is the usual approach to such cases. However, if cases are appropriately selected by careful evaluation of tumor characteristics [8,9] before and during surgery, management of solid adnexal tumor by laparoscopic surgery becomes possible [10][11][12].…”

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Laparoscopic management of selected solid adnexal tumors

et al. 2006

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Fourteen cases of laparoscopically treated solid/ predominantly solid nonepithelial adnexal tumors are presented. Unilateral salpingo-oophorectomy was performed in seven cases [three fibromas, one thecoma, one strumal carcinoid, one Sertoli-Leydig cell tumor (G2), and one dysgerminoma], including a 21-year-old patient with fibroma with adnexal torsion. A 26-year-old patient with fibroma was treated by tumorectomy. Laparoscopicassisted vaginal hysterectomy and bilateral salpingooophorectomy were done in five cases [three thecomas, one adult-type granulosa cell tumor, one Sertoli-Leydig cell tumor (G2)], including a 52-year-old patient with thecoma complicated by torsion. In a case of adenomatoid tumor of the fallopian tube, unilateral salpingectomy was done. Adjuvant platinum-based chemotherapy was added in a case of dysgerminoma, and there has been no sign of recurrence after 3 years.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Evaluation Of Tumor Characteristics Before and During Surgerymentioning

confidence: 99%

mentioning

confidence: 99%

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Laparoscopic management of selected solid adnexal tumors

et al. 2006

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“…But at times benign cystic teratoma may appear to be suspiciously malignant during initial scan due to its complex solid and cystic nature [16][17][18][19] . The malignant degeneration may be present in one to three percent of all cystic teratomas [16][17][18][19][20][21][22][23][24][25][26] . Computed Tomography (CT) scan, specifi cally diagnoses fat, calcifi cations and fat level correctly and is considered the modality of choice.…”

Section: Bodymentioning

confidence: 99%

The value of ultra sonogram in the diagnosis of ovarian dermoid cysts

Pradhan

2014

J. Kathmandu Med. Coll.

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Mature cystic teratoma often referred to as dermoid cysts have been diagnosed using all imaging modalities. Dermoid cysts present various and complex ultrasonographic aspects. At times diagnosis may be diffi cult and lead to confusion due to its complex solid and cystic nature. The specifi city for diagnosis of fat and calcifi cation makes computed tomography (CT) scan the modality of choice. But CT scan is high technique equipment, expensive and may not be affordable or available at all places. Advances in the quality of USG machines, better experiences of ultrasound operators and thorough analysis of all ultrasound features that characterise dermoid cysts have resulted in an increased accuracy of exact ultrasonographic diagnosis of dermoid cysts in the vast majority of the cases and now used as the fi rst preoperative work-up method of choice for the assessment of adnexal masses in clinical practices.

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The Use and Abuse of Imaging in Gynecologic Cancer

Lewis

1987

Cancer

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The radiologic detection in staging of gynecologic malignancies comprises a variety of noninvasive and invasive procedures. In the last few years, the emergence of the cross-sectional imaging techniques such as ultrasonography (US), computerized tomography (CT), and more recently, magnetic resonance imaging (MRI) have enabled the radiologist to determine more accurately the entire degree and extent of pathologic processes both within the pelvis and spread of disease outside the pelvis. The radiologist has also become more involved in invasive procedures such as percutaneous biopsies, aspirations of fluid collections, and transcatheter intraarterial infusion and occlusions. Although the newer imaging modalities will be emphasized, an attempt will be made to point out both their strengths and weaknesses relative to the older modalities. The discussion will concentrate on ovarian and cervical cancers while the other cancers of the female genital tract will be superficially discussed. The thrust of the presentation will emphasize the workup of gynecologic patients, that the workup may be quick, thorough, and as practical as possible.U relied upon the indirect assessment of the pelvic organs in women with radiographs (KUB), intravenous urograms, and barium examinations. With the advent of the cross-sectional imaging techniques; US, CT, and MRI and the established ease and safety of laparoscopy, the traditional radiographic techniques have been nearly abandoned in evaluating the gynecologic patient. Hysterosalpingography remains the modality of choice for the delineation and patency of the fallopian tubes and is of course reserved primarily for the work-up of infertility-related problems.US, which is noninvasive and without ionizing radiation, is simple to perform and is relatively inexpensive. It allows detailed visualization of the pelvic structures in both sagittal and transverse planes and is also able to detect spread of disease outside the pelvis. To date, there is no known deleterious effects of exposure to US within the diagnostic range of 2.5 MHz to 10 MHz. In the majority of gynecological problems, pelvic US will be used for the initial evaluation of the patient.Although there is exposure to ionizing radiation with CT, the overall resolution is better than US and CT

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Sonography of ovarian tumors: predictability of tumor type

Cited by 74 publications

References 3 publications

Laparoscopic management of selected solid adnexal tumors

Laparoscopic management of selected solid adnexal tumors

The value of ultra sonogram in the diagnosis of ovarian dermoid cysts

The Use and Abuse of Imaging in Gynecologic Cancer

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