Fruscella E, Testa A C, Ferrandina G, De Smet F, Van Holsbeke C, Scambia G, Zannoni G F, Ludovisi M, Achten R, Amant F, Vergote I, Timmerman D
Gynecology Oncology Unit, Università Cattolica del Sacro Cuore, Rome, Italy.
Ultrasound Obstet Gynecol. 2005 Nov;26(6):644-50. doi: 10.1002/uog.2607.
To describe the gray-scale sonographic and color Doppler imaging features of the most common histopathological subtypes of borderline ovarian tumors.
We analyzed retrospectively the preoperative transvaginal sonographic reports of patients with a histological diagnosis of borderline ovarian tumor. All patients were scanned consecutively by two of the investigators using transabdominal and transvaginal gray-scale imaging to assess the morphology and color Doppler to obtain indices of the blood flow. Sonographic findings were compared to histopathological data.
A total of 113 consecutive cases were reviewed from two referral centers for gynecological oncology. At histological examination 50 tumors (44%) were classified as being serous borderline ovarian tumors (SBOT), 61 (54%) were mucinous borderline ovarian tumors (MBOT) (42 intestinal type and 19 endocervical type), and two patients (2%) presented with borderline endometrioid tumors. SBOTs and endocervical-type MBOTs had very similar sonographic features and a smaller diameter, fewer locules (usually unilocular-solid lesions) and a higher color score than intestinal-type MBOTs. Intestinal-type MBOTs were characterized by a significantly higher percentage of lesions with > 10 locules when compared with the endocervical-type MBOTs.
Intestinal-type MBOTs have different sonographic features from other common borderline ovarian tumors.
描述卵巢交界性肿瘤最常见组织病理学亚型的灰阶超声及彩色多普勒成像特征。
我们回顾性分析了经组织学诊断为卵巢交界性肿瘤患者的术前经阴道超声报告。所有患者均由两名研究人员连续进行经腹和经阴道灰阶成像扫描，以评估形态，并采用彩色多普勒获取血流指数。将超声检查结果与组织病理学数据进行比较。
从两个妇科肿瘤转诊中心共回顾了113例连续病例。组织学检查时，50例肿瘤（44%）被分类为浆液性卵巢交界性肿瘤（SBOT），61例（54%）为黏液性卵巢交界性肿瘤（MBOT）（42例肠型和19例宫颈内膜型），2例患者（2%）为交界性子宫内膜样肿瘤。SBOT和宫颈内膜型MBOT具有非常相似的超声特征，直径较小，分隔较少（通常为单房实性病变），且彩色评分高于肠型MBOT。与宫颈内膜型MBOT相比，肠型MBOT的特征是有超过10个分隔的病变百分比显著更高。
肠型MBOT具有与其他常见卵巢交界性肿瘤不同的超声特征。
