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WFRF:(Epstein L. M.)
 

Sökning: WFRF:(Epstein L. M.) > (2020-2024) > Imaging in gynecolo...

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FältnamnIndikatorerMetadata
00006097naa a2200529 4500
001oai:lup.lub.lu.se:f2dc3d42-b228-4f3c-bcbe-12dc9da15fde
003SwePub
008220407s2022 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:148674691
024a https://lup.lub.lu.se/record/f2dc3d42-b228-4f3c-bcbe-12dc9da15fde2 URI
024a https://doi.org/10.1002/uog.237332 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1486746912 URI
040 a (SwePub)lud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Ciccarone, F.u Policlinico Universitario Agostino Gemelli4 aut
2451 0a Imaging in gynecological disease (23) : clinical and ultrasound characteristics of ovarian carcinosarcoma
264 c 2022-02
264 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Radiologi och bildbehandling0 (SwePub)302082 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Radiology, Nuclear Medicine and Medical Imaging0 (SwePub)302082 hsv//eng
700a Biscione, A.u Policlinico Universitario Agostino Gemelli4 aut
700a Moro, F.u Policlinico Universitario Agostino Gemelli4 aut
700a Fischerova, D.u Charles University in Prague4 aut
700a Savelli, L.4 aut
700a Munaretto, M.u St. Orsola-Malpighi University Hospital4 aut
700a 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
700a 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
700a Chiappa, V.u Istituto Nazionale dei Tumori4 aut
700a Fruscio, R.u University of Milano-Bicocca4 aut
700a Franchi, D.u European Institute of Oncology4 aut
700a Epstein, E.u Karolinska Institutet4 aut0 (Swepub:lu)obst-eep
700a Timmerman, D.u Catholic University of Leuven,University Hospitals Leuven4 aut
700a Froyman, W.u University Hospitals Leuven,Catholic University of Leuven4 aut
700a 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
700a Scambia, G.u Policlinico Universitario Agostino Gemelli,Catholic University of the Sacred Heart, Rome4 aut
700a Testa, A. C.u Policlinico Universitario Agostino Gemelli,Catholic University of the Sacred Heart, Rome4 aut
710a Policlinico Universitario Agostino Gemellib Charles University in Prague4 org
773t Ultrasound in Obstetrics and Gynecologyd : Wileyg 59:2, s. 241-247q 59:2<241-247x 0960-7692x 1469-0705
856u http://dx.doi.org/10.1002/uog.23733y FULLTEXT
8564 8u https://lup.lub.lu.se/record/f2dc3d42-b228-4f3c-bcbe-12dc9da15fde
8564 8u https://doi.org/10.1002/uog.23733
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:148674691

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