Microcystic pattern and shadowing are independent predictors of ovarian borderline tumors and cystadenofibromas in ultrasound

Objectives To determine the sonographic characteristics of borderline tumors (BoTs) and cystadenofibromas (CAFs). Methods Preoperative sonograms from consecutive patients who had at least one primary epithelial tumor in the adnexa were retrospectively collected. All tumors were described using the I...

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Bibliographic Details
Published in:European radiology 2021, Vol.31 (1), p.45-54
Main Authors: Zheng, Xinying, Lyu, Guorong, Gan, Yaduan, Hu, Maiguo, Liu, Xianlan, Chen, Shuqiang, Wu, Xiuming, Yang, Wenmin, Ye, Fengying, Yan, Xiaobin, Zhang, Ying
Format: Article
Language:English
Subjects:
Cystadenofibroma - diagnostic imaging
Diagnostic Radiology
Female
Humans
Imaging
Internal Medicine
Interventional Radiology
Malignancy
Medicine
Medicine & Public Health
Neuroradiology
Ovarian Neoplasms - diagnostic imaging
Ovaries
Radiology
Regression analysis
Retrospective Studies
Shadows
Sonograms
Terminology
Tumors
Ultrasonic imaging
Ultrasonography
Ultrasound
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Summary:Objectives To determine the sonographic characteristics of borderline tumors (BoTs) and cystadenofibromas (CAFs). Methods Preoperative sonograms from consecutive patients who had at least one primary epithelial tumor in the adnexa were retrospectively collected. All tumors were described using the International Ovarian Tumor Analysis terminology. Ultrasound variables were tested using multinomial logistic regression after univariate analysis. Results A total of 650 patients were included in this study. Of these, 110 had a CAF, 128 had a BoT, 249 had a cystadenoma (CAD), and 163 had a cystadenocarcinoma (CAC). Nearly half of CAFs and more than half of BoTs and CACs appeared to be unilocular and multilocular solid on the ultrasound images, while CADs were predominantly uni- or multilocular ( p  
ISSN:0938-7994
1432-1084
DOI:10.1007/s00330-020-07113-z