Abstract
The diagnosis of ovarian tumor has been mainly dependent on manual pelvic examination and ultrasonography. But in case of malignant ovarian tumor, CT has more advantages over ultrasonography in assessing anatomic details, relationships to bowel loops, precise extents of tumors and follow-up examinations after surgery. Authors analyzed CT features of 46 cases of pathologically proven ovarian tumors for recent 4 years at Keimyung University Dongsan Hospital. The results were as follows: 1. The most common tumor was serous cyst adenocarcinoma (9 cases: 20%), followed by metastases (8 cases: 17%), mucinous cyst adenocarcinoma (7 cases: 15%), mucinous cyst adenocarcinoma (5 cases: 11%), teratoma (5 cases: 11%), lymphoma (3 cases: 7%) and dysgerminoma (2 cases: 4%). 2. The ovarian tumors were variable in size from 2.5 cm to 33 cm in diameter. Most of the solid tumors were smaller than 10 cm in diameter and most of the cystic tumors were larger than 10 cm in diameter. Usually mucinous tumors were much larger than serous tumors. Mucinous cyst adenomas were the largest tumors. 3. Unilateral tumors (left 19, right 13 cases) were more common than bilateral tumors (12 cases). Bilateral tumors were seen in serous and mucinous cyst adenocarcinoma, metastases and lymphoma.
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Kwon, Kwi Ryeon;
Lee, Ki Man;
Woo, Seong Ku;
Suh, Soo Jhi;
[1]
Kang, Duk Sik
[2]
- Keimyung University School of Medicine, Seoul (Korea, Republic of)
- Kyungpook National University College of Medicine, Taegu (Korea, Republic of)
Citation Formats
Kwon, Kwi Ryeon, Lee, Ki Man, Woo, Seong Ku, Suh, Soo Jhi, and Kang, Duk Sik.
Computed tomographic findings of ovarian tumors.
Korea, Republic of: N. p.,
1986.
Web.
Kwon, Kwi Ryeon, Lee, Ki Man, Woo, Seong Ku, Suh, Soo Jhi, & Kang, Duk Sik.
Computed tomographic findings of ovarian tumors.
Korea, Republic of.
Kwon, Kwi Ryeon, Lee, Ki Man, Woo, Seong Ku, Suh, Soo Jhi, and Kang, Duk Sik.
1986.
"Computed tomographic findings of ovarian tumors."
Korea, Republic of.
@misc{etde_21297616,
title = {Computed tomographic findings of ovarian tumors}
author = {Kwon, Kwi Ryeon, Lee, Ki Man, Woo, Seong Ku, Suh, Soo Jhi, and Kang, Duk Sik}
abstractNote = {The diagnosis of ovarian tumor has been mainly dependent on manual pelvic examination and ultrasonography. But in case of malignant ovarian tumor, CT has more advantages over ultrasonography in assessing anatomic details, relationships to bowel loops, precise extents of tumors and follow-up examinations after surgery. Authors analyzed CT features of 46 cases of pathologically proven ovarian tumors for recent 4 years at Keimyung University Dongsan Hospital. The results were as follows: 1. The most common tumor was serous cyst adenocarcinoma (9 cases: 20%), followed by metastases (8 cases: 17%), mucinous cyst adenocarcinoma (7 cases: 15%), mucinous cyst adenocarcinoma (5 cases: 11%), teratoma (5 cases: 11%), lymphoma (3 cases: 7%) and dysgerminoma (2 cases: 4%). 2. The ovarian tumors were variable in size from 2.5 cm to 33 cm in diameter. Most of the solid tumors were smaller than 10 cm in diameter and most of the cystic tumors were larger than 10 cm in diameter. Usually mucinous tumors were much larger than serous tumors. Mucinous cyst adenomas were the largest tumors. 3. Unilateral tumors (left 19, right 13 cases) were more common than bilateral tumors (12 cases). Bilateral tumors were seen in serous and mucinous cyst adenocarcinoma, metastases and lymphoma. 4. CT features of mucinous cyst adenomas were smooth margins and thin wall of the tumor masses and multifaceted cysts with internal septa in all 7 cases. 5. In contrast, CT demonstration of bilaterally, irregular margin, thick wall, enhancing solid lesion, septal irregularity, adhesion to adjacent structures, peritoneal/omental implantation, ascites and hydronephrosis were signs suggesting malignancy. CT features of the serous cyst adenocarcinoma were mostly solid to mixed nature (83%), irregular margin (75%), enhancing solid lesion (67%), papillary growth (75%), internal septa (58%), multilocularity (58%) and calcification (25%) in descending order of frequency. 6. On CT, mucinous cystadenocarcinoma were irregular-marginated, thick-walled, cystic tumors with enhancing solid lesion, septal irregularity and signs of metastasis, although there were some cases having similar features of benign. 7. Among the extrapelvic CT findings of malignant epithelial ovarian tumor, peritoneal/omental implants (11 cases: 79%) and ascites (10 cases: 71%) were the most common, and indistinct uterus (6 cases: 43%), bowel adhesion (5 cases: 36%) and pseucomyxoma peritonei (2 cases) were descending order of frequency. 8. CT features of teratoma were diagnostic having at least three more of different tissue densities among fat, water, soft tissue and calcific densities. Also there were thick wall (4 cases) and fat-fluid level (1 case). 9. In 8 cases of ovarian metastases, there were solid type tumor smaller than 10cm in 4 cases and huge cystic in 2 cases. The site of primary cancer were stomach in 4 cases, colon, cervix, endometrium and unknown in each one case. 10. In 3 cases of malignant lymphoma, the CT features were solid in appearance, smaller than 10cm and accompanied by lymphadenopathy in all cases.}
journal = []
issue = {4}
volume = {22}
place = {Korea, Republic of}
year = {1986}
month = {Aug}
}
title = {Computed tomographic findings of ovarian tumors}
author = {Kwon, Kwi Ryeon, Lee, Ki Man, Woo, Seong Ku, Suh, Soo Jhi, and Kang, Duk Sik}
abstractNote = {The diagnosis of ovarian tumor has been mainly dependent on manual pelvic examination and ultrasonography. But in case of malignant ovarian tumor, CT has more advantages over ultrasonography in assessing anatomic details, relationships to bowel loops, precise extents of tumors and follow-up examinations after surgery. Authors analyzed CT features of 46 cases of pathologically proven ovarian tumors for recent 4 years at Keimyung University Dongsan Hospital. The results were as follows: 1. The most common tumor was serous cyst adenocarcinoma (9 cases: 20%), followed by metastases (8 cases: 17%), mucinous cyst adenocarcinoma (7 cases: 15%), mucinous cyst adenocarcinoma (5 cases: 11%), teratoma (5 cases: 11%), lymphoma (3 cases: 7%) and dysgerminoma (2 cases: 4%). 2. The ovarian tumors were variable in size from 2.5 cm to 33 cm in diameter. Most of the solid tumors were smaller than 10 cm in diameter and most of the cystic tumors were larger than 10 cm in diameter. Usually mucinous tumors were much larger than serous tumors. Mucinous cyst adenomas were the largest tumors. 3. Unilateral tumors (left 19, right 13 cases) were more common than bilateral tumors (12 cases). Bilateral tumors were seen in serous and mucinous cyst adenocarcinoma, metastases and lymphoma. 4. CT features of mucinous cyst adenomas were smooth margins and thin wall of the tumor masses and multifaceted cysts with internal septa in all 7 cases. 5. In contrast, CT demonstration of bilaterally, irregular margin, thick wall, enhancing solid lesion, septal irregularity, adhesion to adjacent structures, peritoneal/omental implantation, ascites and hydronephrosis were signs suggesting malignancy. CT features of the serous cyst adenocarcinoma were mostly solid to mixed nature (83%), irregular margin (75%), enhancing solid lesion (67%), papillary growth (75%), internal septa (58%), multilocularity (58%) and calcification (25%) in descending order of frequency. 6. On CT, mucinous cystadenocarcinoma were irregular-marginated, thick-walled, cystic tumors with enhancing solid lesion, septal irregularity and signs of metastasis, although there were some cases having similar features of benign. 7. Among the extrapelvic CT findings of malignant epithelial ovarian tumor, peritoneal/omental implants (11 cases: 79%) and ascites (10 cases: 71%) were the most common, and indistinct uterus (6 cases: 43%), bowel adhesion (5 cases: 36%) and pseucomyxoma peritonei (2 cases) were descending order of frequency. 8. CT features of teratoma were diagnostic having at least three more of different tissue densities among fat, water, soft tissue and calcific densities. Also there were thick wall (4 cases) and fat-fluid level (1 case). 9. In 8 cases of ovarian metastases, there were solid type tumor smaller than 10cm in 4 cases and huge cystic in 2 cases. The site of primary cancer were stomach in 4 cases, colon, cervix, endometrium and unknown in each one case. 10. In 3 cases of malignant lymphoma, the CT features were solid in appearance, smaller than 10cm and accompanied by lymphadenopathy in all cases.}
journal = []
issue = {4}
volume = {22}
place = {Korea, Republic of}
year = {1986}
month = {Aug}
}