Zhao Yuying, Mao Xinfeng, Yao Lidi, Shen Jian
Department of Radiology, Huzhou Central Hospital, Huzhou, Zhejiang 313003, P.R. China.
Oncol Lett. 2018 Jul;16(1):1141-1146. doi: 10.3892/ol.2018.8766. Epub 2018 May 22.
The present study aimed to describe the computed tomography (CT) imaging features of ovarian Brenner tumor for diagnostic accuracy and disease understanding. The CT imaging features of 9 cases of ovarian Brenner tumor confirmed by surgery and pathology were retrospectively analyzed and compared. Of the 9 cases of ovarian Brenner tumor, 3 were right located and 6 were left located with clear borders; 7 with round or oval shapes, while 2 were with irregular and lobulated morphology; 5 solid lesions presented with multiple scattered calcification shadows inside with moderate enhancement, while 3 cystic lesions were presented with mixed solid and cystic composition, and significant enhancement was identified in the solid component, but not in the cystic component. Furthermore, papillary projections inside and mild nodular enhancement were observed in one case of cystic lesion. The pathological analysis demonstrated that an epithelium nest composed the tumors with urothelial like cells and fibrous matrix. Of the 9 cases, 5 epithelial nests exhibited adeno-like cystic lumen without cell mitosis phase. All cases were diagnosed with benign ovarian Brenner tumor. Specific CT imaging features of ovarian Brenner tumor can be identified and pathological examinations are required for diagnosis confirmation.
本研究旨在描述卵巢布伦纳瘤的计算机断层扫描(CT)成像特征,以提高诊断准确性并增进对该疾病的了解。回顾性分析并比较了9例经手术和病理证实的卵巢布伦纳瘤的CT成像特征。9例卵巢布伦纳瘤中,3例位于右侧,6例位于左侧,边界清晰;7例呈圆形或椭圆形,2例形态不规则且呈分叶状;5例实性病变内部有多个散在钙化影,呈中度强化,3例囊性病变为实性和囊性混合成分,实性成分有明显强化,囊性成分无强化。此外,1例囊性病变内可见乳头状突起及轻度结节状强化。病理分析显示,肿瘤由上皮巢组成,细胞似尿路上皮细胞,伴有纤维基质。9例中,5个上皮巢显示腺样囊腔,无细胞有丝分裂期。所有病例均诊断为良性卵巢布伦纳瘤。卵巢布伦纳瘤具有特定的CT成像特征,确诊需要病理检查。