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  • Moro, F.Policlinico Universitario Agostino Gemelli (author)

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

  • Article/chapterEnglish2018

Publisher, publication year, extent ...

  • 2018-10-04
  • Wiley,2018
  • 9 s.

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:d8ed7219-2840-4a9a-9677-1981e133f824
  • https://lup.lub.lu.se/record/d8ed7219-2840-4a9a-9677-1981e133f824URI
  • https://doi.org/10.1002/uog.19026DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:139347445URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • OBJECTIVE: To describe the clinical and ultrasound characteristics of ovarian pure endometrioid carcinomas.METHODS: This was a retrospective multicenter study of patients with a histological diagnosis of pure endometrioid carcinoma. We identified 161 patients from the International Ovarian Tumor Analysis (IOTA) database who had undergone preoperative ultrasound examination by an experienced ultrasound examiner between 1999 and 2016, and another 78 patients from the databases of the departments of gynecological oncology in the participating centers. All tumors were described using IOTA terminology. In addition, one author reviewed all available ultrasound images and described them using pattern recognition.RESULTS: Median age of the 239 patients was 55 years (range, 19-88 years). On ultrasound examination, two (0.8%) endometrioid carcinomas were described as unilocular cysts, three (1.3%) as multilocular cysts, 37 (15.5%) as unilocular-solid cysts, 115 (48.1%) as multilocular-solid cysts and 82 (34.3%) as solid masses. Median largest tumor diameter was 102.5 mm (range, 20-300 mm) and median largest diameter of the largest solid component was 63 mm (range, 9-300 mm). Papillary projections were present in 70 (29.3%) masses. Most cancers (188 (78.7%)) were unilateral. In 49 (20.5%) cases, the cancer was judged by the pathologist to develop from endometriosis. These cancers, compared with those without evidence of tumor developing from endometriosis, more often manifested papillary projections on ultrasound (46.9% (23/49) vs 24.7% (47/190)), were less often bilateral (8.2% (4/49) vs 24.7% (47/190)) and less often associated with ascites (6.1% (3/49) vs 28.4% (54/190)) and fluid in the pouch of Douglas (24.5% (12/49) vs 48.9% (93/190)). Retrospective analysis of available ultrasound images using pattern recognition revealed that many tumors without evidence of tumor developing from endometriosis (36.3% (41/113)) had a large central solid component entrapped within locules, giving the tumor a cockade-like appearance.CONCLUSIONS: Endometrioid cancers are usually large, unilateral, multilocular-solid or solid tumors. The ultrasound characteristics of endometrioid carcinomas developing from endometriosis differ from those without evidence of tumor developing from endometriosis, the former being more often unilateral cysts with papillary projections and no ascites.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Magoga, G.Catholic University of the Sacred Heart, Rome (author)
  • Pasciuto, T.Policlinico Universitario Agostino Gemelli (author)
  • Mascilini, F.Policlinico Universitario Agostino Gemelli (author)
  • Moruzzi, M. C.Policlinico Universitario Agostino Gemelli (author)
  • Fischerova, D.Charles University in Prague (author)
  • Savelli, L.St. Orsola-Malpighi University Hospital,University of Bologna (author)
  • Giunchi, S.St. Orsola-Malpighi University Hospital,University of Bologna,Policlinico Universitario Agostino Gemelli (author)
  • Mancari, R.European Institute of Oncology (author)
  • Franchi, D.European Institute of Oncology (author)
  • Czekierdowski, A.Medical University of Lublin,Catholic University of the Sacred Heart, Rome (author)
  • Froyman, W.Catholic University of Leuven,University Hospitals Leuven (author)
  • Verri, D.University of Milano-Bicocca,San Gerardo Hospital (author)
  • Epstein, E.Karolinska Institutet,Karolinska Institute,Stockholm South General Hospital(Swepub:lu)obst-eep (author)
  • Chiappa, V.Istituto Nazionale dei Tumori (author)
  • Guerriero, S.Cagliari University hospital (author)
  • Zannoni, G. F.Catholic University of the Sacred Heart, Rome (author)
  • Timmerman, D.Catholic University of Leuven,University Hospitals Leuven (author)
  • Scambia, G.Policlinico Universitario Agostino Gemelli (author)
  • Valentin, L.Lund University,Lunds universitet,Obstetrisk, gynekologisk och prenatal ultraljudsdiagnostik,Forskargrupper vid Lunds universitet,Obstetric, Gynaecological and Prenatal Ultrasound Research,Lund University Research Groups,Skåne University Hospital(Swepub:lu)obst-lva (author)
  • Testa, A. C.Catholic University of the Sacred Heart, Rome (author)
  • Policlinico Universitario Agostino GemelliCatholic University of the Sacred Heart, Rome (creator_code:org_t)

Related titles

  • In:Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology: Wiley52:4, s. 535-5431469-0705
  • In:Ultrasound in Obstetrics & Gynecology: Wiley52:4, s. 535-5430960-7692

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