Comparision of sonographic findings and pathological features in ovarian thecoma / 中华肿瘤杂志
Chinese Journal of Oncology
; (12): 473-475, 2008.
Article
in Chinese
| WPRIM (Western Pacific)
| ID: wpr-357396
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To compare the sonographic findings with pathological features of ovarian thecoma, and to analyze the relationship between them.</p><p><b>METHODS</b>The sonograms of 45 ovarian thecoma cases were reviewed retrospectively and categorized into three subtypes as sound attenuation pattern, homogeneous hypoechoic pattern and solid and cystic mixed pattern. The pathological findings were classified as theca cell-predominant, fibroblast-predominant and mixed thecoma according to the cellular composition of the tumors. Hyaline degeneration and luteinization of the tumors were recorded. The pathologic findings of each subtype based on sonography were compared.</p><p><b>RESULTS</b>Of the 45 patients, there were 34 (75.6%) solid ovarian lesions, 15 (33.3%) of those showed a sound-attenuation pattern with an anterior hypoechoic zone and posterior acoustic attenuation in sonography, the other 19 (42.2%) cases had homogeneous hypoechoic pattern with no posterior acoustic attenuation, and the remaining 11 (24.4%) cases presented as a solid and cystic mixed pattern. There were no significant differences in pathological cellular composition among the three sonographic subtypes. Five solid tumors containing hyaline degeneration and one with luteinization were found to have posterior acoustic attenuation. The solid and cystic mixed thecomas showed cystic degeneration and hemorrhage.</p><p><b>CONCLUSION</b>Solid ovarian thecomas usually have typical sonographic features, which may be associated with degeneration but not with cellular composition within the tumor.</p>
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Ovarian Neoplasms
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Pathology
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Thecoma
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Blood
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Diagnostic Imaging
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Retrospective Studies
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Classification
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Ultrasonography, Doppler, Color
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CA-125 Antigen
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Methods
Type of study:
Diagnostic study
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Observational study
Limits:
Adult
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Aged
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Aged, 80 and over
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Female
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Humans
Language:
Chinese
Journal:
Chinese Journal of Oncology
Year:
2008
Document type:
Article