Sökning: WFRF:(Epstein L. M.) > (2020-2024) > Imaging in gynecolo...
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000 | 06097naa a2200529 4500 | |
001 | oai:lup.lub.lu.se:f2dc3d42-b228-4f3c-bcbe-12dc9da15fde | |
003 | SwePub | |
008 | 220407s2022 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:148674691 | |
024 | 7 | a https://lup.lub.lu.se/record/f2dc3d42-b228-4f3c-bcbe-12dc9da15fde2 URI |
024 | 7 | a https://doi.org/10.1002/uog.237332 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1486746912 URI |
040 | a (SwePub)lud (SwePub)ki | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a art2 swepub-publicationtype |
072 | 7 | a ref2 swepub-contenttype |
100 | 1 | a Ciccarone, F.u Policlinico Universitario Agostino Gemelli4 aut |
245 | 1 0 | a Imaging in gynecological disease (23) : clinical and ultrasound characteristics of ovarian carcinosarcoma |
264 | c 2022-02 | |
264 | 1 | b Wiley,c 2022 |
300 | a 7 s. | |
520 | a Objective: To describe the clinical and ultrasound characteristics of ovarian carcinosarcoma. Methods: This was a retrospective multicenter study. Patients with a histological diagnosis of ovarian carcinosarcoma, who had undergone preoperative ultrasound examination between 2010 and 2019, were identified from the International Ovarian Tumor Analysis (IOTA) database. Additional patients who were examined outside of the IOTA study were identified from the databases of the participating centers. The masses were described using the terms and definitions of the IOTA group. Additionally, two experienced ultrasound examiners reviewed all available images to identify typical ultrasound features using pattern recognition. Results: Ninety-one patients with ovarian carcinosarcoma who had undergone ultrasound examination were identified, of whom 24 were examined within the IOTA studies and 67 were examined outside of the IOTA studies. Median age at diagnosis was 66 (range, 33–91) years and 84/91 (92.3%) patients were postmenopausal. Most patients (67/91, 73.6%) were symptomatic, with the most common complaint being pain (51/91, 56.0%). Most tumors (67/91, 73.6%) were International Federation of Gynecology and Obstetrics (FIGO) Stage III or IV. Bilateral lesions were observed on ultrasound in 46/91 (50.5%) patients. Ascites was present in 38/91 (41.8%) patients. The median largest tumor diameter was 100 (range, 18–260) mm. All ovarian carcinosarcomas contained solid components, and most were described as solid (66/91, 72.5%) or multilocular-solid (22/91, 24.2%). The median diameter of the largest solid component was 77.5 (range, 11–238) mm. Moderate or rich vascularization was found in 78/91 (85.7%) cases. Retrospective analysis of ultrasound images and videoclips using pattern recognition in 73 cases revealed that all tumors had irregular margins and inhomogeneous echogenicity of the solid components. Forty-seven of 73 (64.4%) masses appeared as a solid tumor with cystic areas. Cooked appearance of the solid tissue was identified in 28/73 (38.4%) tumors. No pathognomonic ultrasound sign of ovarian carcinosarcoma was found. Conclusions: Ovarian carcinosarcomas are usually diagnosed in postmenopausal women and at an advanced stage. The most common ultrasound appearance is a large solid tumor with irregular margins, inhomogeneous echogenicity of the solid tissue and cystic areas. The second most common pattern is a large multilocular-solid mass with inhomogeneous echogenicity of the solid tissue. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Radiologi och bildbehandling0 (SwePub)302082 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Radiology, Nuclear Medicine and Medical Imaging0 (SwePub)302082 hsv//eng |
700 | 1 | a Biscione, A.u Policlinico Universitario Agostino Gemelli4 aut |
700 | 1 | a Moro, F.u Policlinico Universitario Agostino Gemelli4 aut |
700 | 1 | a Fischerova, D.u Charles University in Prague4 aut |
700 | 1 | a Savelli, L.4 aut |
700 | 1 | a Munaretto, M.u St. Orsola-Malpighi University Hospital4 aut |
700 | 1 | a Jokubkiene, L.u Lund University,Lunds universitet,Urogynekologi och reproduktionsfarmakologi,Forskargrupper vid Lunds universitet,Urogynaecology and Reproductive Pharmacology,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)obst-ljo |
700 | 1 | a Sladkevicius, P.u 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 Hospital4 aut0 (Swepub:lu)obst-psl |
700 | 1 | a Chiappa, V.u Istituto Nazionale dei Tumori4 aut |
700 | 1 | a Fruscio, R.u University of Milano-Bicocca4 aut |
700 | 1 | a Franchi, D.u European Institute of Oncology4 aut |
700 | 1 | a Epstein, E.u Karolinska Institutet4 aut0 (Swepub:lu)obst-eep |
700 | 1 | a Timmerman, D.u Catholic University of Leuven,University Hospitals Leuven4 aut |
700 | 1 | a Froyman, W.u University Hospitals Leuven,Catholic University of Leuven4 aut |
700 | 1 | a Valentin, L.u 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 Hospital4 aut0 (Swepub:lu)obst-lva |
700 | 1 | a Scambia, G.u Policlinico Universitario Agostino Gemelli,Catholic University of the Sacred Heart, Rome4 aut |
700 | 1 | a Testa, A. C.u Policlinico Universitario Agostino Gemelli,Catholic University of the Sacred Heart, Rome4 aut |
710 | 2 | a Policlinico Universitario Agostino Gemellib Charles University in Prague4 org |
773 | 0 | t Ultrasound in Obstetrics and Gynecologyd : Wileyg 59:2, s. 241-247q 59:2<241-247x 0960-7692x 1469-0705 |
856 | 4 | u http://dx.doi.org/10.1002/uog.23733y FULLTEXT |
856 | 4 8 | u https://lup.lub.lu.se/record/f2dc3d42-b228-4f3c-bcbe-12dc9da15fde |
856 | 4 8 | u https://doi.org/10.1002/uog.23733 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:148674691 |
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